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Gissela Medina Maldonado

Inspection · 2025-07-08

Date
2025-07-08
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 renewal inspection was initiated and completed on 07/08/2025. The on-site inspection began at 9:30 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were (8) children, plus (1) resident child present and (3) caregivers; the point total was (30). The inspector reviewed (13) children records, (3) caregiver records, and (2) household member records on-site on 07/08/2025.

This inspection included: document review (i.e. Files, injury logs, policies and procedures, emergency drill logs); 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

11
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam record available for Child #4, who had been in care for 64 days.
Plan of Correction: A physical will be obtained and placed on file.
Standard 8VAC20-800-120-B
For assistants who are hired after June 30, 2010, documentation that two or more references as to character and reputation as well as competency were checked before employment.

Staff #2 had 1 of 2 references checks on file. Staff #3 had 0 of 2 reference checks on file.
Plan of Correction: All references (2) will be placed on file for each caregiver
Standard 8VAC20-800-140-B-3
Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, was not available for review.

Staff #1 certification in CPR expired 9 days ago.
Plan of Correction: CPR certification will be obtained.
Standard 8VAC20-800-140-B-4
Current certification in First Aid, was not available for review.

Staff #1 certification in First Aid expired 9 days ago.
Plan of Correction: First Aid certification will be obtained.
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 sixteen months. An updated TB screening for Household Member #1 was not completed and was overdue by one month.
Plan of Correction: TB documentation will be updated and the documentation for both will be placed on file.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of 16 clock hours of training annually.

Staff #1 obtained (5) five hours of training in the past annual period.
Plan of Correction: All applicable staff will obtain a total of 16 hours of annual training. Certificates will be placed on file for each staff person.
Standard 8VAC20-800-60-B
Children's records are required to the name and policy number of the child's medical insurance.

The record for Child #5 was missing the policy number for the listed medical insurance company. Child #5 was present during the inspection and had been in care for almost 3 weeks.
Plan of Correction: Information will be updated.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration.

There were no parent acknowledgements available for: Medication Administration Form for Child #3; and the Declaration of Liability Form for Child #10, and #11. All three children have been in care for at least 1 month.
Plan of Correction: This forms will be signed and placed on file.
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

Records for children #9, and #12 did not have a parent?s signature for an annual review of the emergency contact information. Both annual reviews expired last week.
Plan of Correction: The emergency information will be reviewed and an annual signature/date will be obtained by the parent as verification.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for child #13, who was in care during the inspection and had been in care for a year.
Plan of Correction: Immunization page will be obtained and placed on file.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years. '

Child #2, 22 months old, last documented immunization was over 13 months ago.
Plan of Correction: An updated immunization page will be obtained and placed on file.
View original record on Virginia Department of Social Services