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Gissela Medina Maldonado

Inspection · 2024-07-10

Date
2024-07-10
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Medication Administration
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC2 0-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication
63.2 Child abuse and neglect

Inspector Notes

This initial inspection was initiated by licensing staff and concluded on 07/10/2024, between the hours of 9 am to 12 pm. There were 8 children present (20 points), ranging from infant to preschool-age, with 4 caregivers supervising. The children were engaged in the following: freeplay, music, song, dance, story time, art, center activities within the room, nap time, bathroom breaks, hand washing, getting ready for lunch, and other organized activities. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication (no meds on site); special care and emergencies; and nutrition. A total of 15 children files, and 4 staff files were reviewed.

Information gathered during the inspection determined that there were (10) non-compliances with the applicable standards. These violations were documented on the Violation Notice issued to the home.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations

10
Standard 8VAC20-800-100-A
Based on review, 1 of 15 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

Evidence -
1. On the date of inspection (07/10/2024), the following children did not have a physical available for review: Child #11 (start date - 04/17/23), Child #12 (start date - 04/17/23), Child #15 (start date - 06/03/24).
2. All three children were still enrolled in the child care program.
Plan of Correction: Will obtain missing documentation.
Standard 8VAC20-800-120-B
Based on review, 2 of 4 staff files indicated that not all of the required documentation was contained within each file.

Evidence -
On the date of inspection (07/10/2024), the following information was not available for the following staff:
1. Staff age verification for - Staff #3, and Staff #4
2. 1 of 2 references for - Staff #3, and Staff #4
3. Both staff share the same start date of 07/03/2024.
Plan of Correction: Will obtain missing information and documentation.
Standard 8VAC20-800-170-A
Based on review, 1 of 4 staff files indicated that the Provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening (TB) form.

Evidence -
1. On the date of inspection (07/10/2024), Staff #3 (start date - 07/03/2024) did not have initial TB documentation available for review.
2. Staff #3 was on site providing care of the children on the date of inspection.
Plan of Correction: Will obtain missing documentation.
Standard 8VAC20-800-180-A
Based on review, the Provider did not obtain for each caregiver a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 8VAC20-800-170), every two years from the date of the documentation of the last screening or TB test.

Evidence -
1. On the date of inspection (07/10/2024), the TB documentation of file for Staff #1 was dated - 03/09/22.
2. This finding was confirmed on the date of inspection by the Provider.
Plan of Correction: Will obtain missing documentation.
Standard 8VAC20-800-200-C
Based on review, 1 of 4 staff files indicated that documentation of the orientation was not signed and dated by the provider and assistant.

Evidence -
1. On the date of inspection, an orientation was not available for review for Staff #2.
2. The start date for Staff #2 was listed as 12/20/23.
Plan of Correction: Will obtain missing documentation of training.
Standard 8VAC20-800-60-B
Based on review, 2 of 15 children files indicated that not all of the required information was contained within each child's record.

Evidence -
1. One of two emergency contacts (and their information) was listed for the following children: Child #5, and Child #13.
2. The start date for Child #5 was listed as 12/11/23. The start date for Child #13 was listed as 05/01/24.
Plan of Correction: Will obtain missing documentation.
Standard 8VAC20-800-800-B
Based on review, the Provider did not review the Emergency Preparedness and Response Plan (EP&RP) at least annually, updated the plan as needed, and document in writing each review and update.

Evidence -
1. On the date of inspection, the last documented review of the FDH EP&RP was dated - 07/07/2023).
2. The Provider confirmed this finding on the date of inspection.
Plan of Correction: Will update documentation.
Standard 8VAC20-800-830-B
Based on review, it was determined that a shelter-in-place drill was not conducted during 2023, and so far to date in 2024.

Evidence -
1. On the date of inspection (07/10/2024), after a review of the posted drill log. A shelter-in-place drill was neither recorded in 2023, or to date in 2024.
2. This log was posted on the wall with other posted documentation.
Plan of Correction: Will perform all drills by end of year. The first will be held within the next month.
Standard 8VAC20-800-90-A
Based on review, 2 of 15 children files indicated that the Provider did not obtain documentation that all children had been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before a child may attend the Family Day Home (FDH).

Evidence -
1. On the date of inspection (07/10/2024), the following children did not have an initial immunization page within their file: Child #6, and Child #15.
2. The start date for Child #6 was listed as 11/15/23. The start date for Child #15 was listed as 06/03/24.
Plan of Correction: Will obtain missing documentation.
Standard 8VAC20-800-90-C
Based on review, 1 of 15 children files indicated that the FDH did not obtain documentation of additional immunizations for a child who was not exempt from the immunization requirements (according to subsection B of this section) once every six months for children under the age of two years.

Evidence -
1. On the date of inspection (07/10/2024), Child #13 had an immunization page on file that was dated - 10/02/23.
2. Based on the information on file, on the date of inspection, Child #13 was under the age of two years.
Plan of Correction: Will obtain missing documentation.
View original record on Virginia Department of Social Services