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Gissela Medina Maldonado

Inspection · 2025-02-21

Date
2025-02-21
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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 02/21/2025. The on-site inspection began at 10 am and ended at 12 pm. The inspector reviewed compliance in the areas listed above. There were (8) children present with (1) resident child, and (4) caregivers; the point total was (28). The inspector reviewed (8) children?s records and (4) staff records, and (2) household member records on-site on 02/21/2025.

This inspection included: document review (i.e. files, policies and procedures, emergency drill logs, no medication); tour of the facility; interviews; and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

8
Standard 22.1-289.035-B-1
Providers are required to obtain a completed sworn statement prior to the employee's first day of employment and when any new resident moves into the home.

The sworn statement for Staff #3 and Staff #4, who were currently working (over 1 week), was not completed. In addition, Household Member #1 and Household Member #2, who both have lived in the home for two months, did not have a sworn statement.
Plan of Correction: A sworn statement shall be completed for both new staff and new residents. These will sent to the LI for review and then will be placed on file in the FDH.
Standard 22.1-289.035-B-2
Providers must obtain a completed national criminal background check prior to the employee's first day of employment and when any new resident moves into the home.

Staff #3 and Staff #4, who both had been employed for over one week, did not have a completed national criminal background check. In addition, Household Member #1 and Household Member #2, who both have lived in the home for two months, did not have a completed national criminal background check.
Plan of Correction: A fingerprint check will be completed for both new staff and new residents. These will sent to the LI for review and then will be placed on file in the FDH.
Standard 8VAC20-800-120-A
Providers must maintain a record for each caregiver.

There were no records for Staff #3 and Staff #4 who have been caring for children for one week.
Plan of Correction: A completed file with all of the required information will be created for both new staff.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

There was no tuberculosis screening for Staff #3 and Staff #4, who have been caring for children for one week.
Plan of Correction: Initial TB documentation will be obtained and placed on file for both new staff and both new residents.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for Staff #1 was not completed and was overdue by eleven months.
Plan of Correction: TB documentation will be renewed and placed on file for Staff #1.
Standard 8VAC20-800-200-C
The provider must orient assistants by the end of their first week of assuming job responsibilities.

Staff #2 provided care for children for over one year without a documented orientation. This same violation was cited during a previous inspection.
Plan of Correction: Orientation documentation will be created and placed on file for all staff.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of 16 clock hours of training annually.

Staff #1 and Staff #2 did not obtain a minimum of 16 clock hours of annual training in 2024.
Plan of Correction: A total of 16 annual training hours will be completed for all staff by the end of 2025.
Standard 8VAC20-800-460-C
Dogs, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed.

The current rabies vaccination for the household pet expired over a month ago.
Plan of Correction: The household pet will be revaccinated. This documentation will be placed on file.
View original record on Virginia Department of Social Services