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Patrycja Kuklinski

Inspection · 2023-09-05

Date
2023-09-05
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
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

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
8VAC20-770 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

An unannounced Monitoring inspection was conducted today. A total of 6 children (14pts) with 2 staff providing supervision was onsite. The children were preparing for lunch time. They were seated at the table while staff were observed serving lunch. Lunch today was chicken with rice and fresh slices of cucumber. They had completed a morning activity which had the children paint and color the letter "N". The artwork was observed drying on bookshelves. After lunch, the children transitioned to playtime. The younger children were placed in cribs for nap time. The older children transitioned smoothly to their designated cots and quickly fell asleep. Observation of the all programming areas was made. Consultation provided regarding the area used for diapering. No medication needs and no food allergies were identified. A total of 4 children's records and all staff records were reviewed. This inspection occurred between 11am and 12:30pm. Please email me at: lisa.hudson@doe.virginia.gov with any questions. Thank you for your cooperation today.

Violations

6
Standard 8VAC20-800-60-B
Based on child record review, a child's record was incomplete.
Evidence:
A second emergency contact was not found for Child #3.
The child's start date was not found.
Plan of Correction: A second emergency contact will be obtained for this child.
Standard 8VAC20-800-680-A
Based on observation of staff diapering two children, hand washing requirements were not followed.
Evidence:
Staff #2 failed to wash their hands after diapering one child and proceeded to diaper another child directly afterwards.
Plan of Correction: Staff was reminded that they must wash hands after every diaper change
Standard 8VAC20-800-680-B
Based on observation of staff diapering 2 children, children's hands were not washed.
Evidence:
Staff #2 failed to ensure that Child # 4 and Child #3's hands were not washed after diapering.
Plan of Correction: Staff was reminded that all children's hands will be washed after being diapered.
Standard 8VAC20-800-690-D
Based on observation of staff diapering, the diaper surface was not cleaned and sanitized.
Evidence:
Staff #2 did not clean with soap and water and sanitize with bleach and water after diapering two children.
Plan of Correction: Two spray bottles will be made, one for soap and water and the second for bleach and water. Staff will be required to clean and sanitize the diaper surface after every diaper change.
Standard 8VAC20-800-750-B
Based on observation of the family day home, topical ointments were accessible to children.
Evidence:
Topical ointments were accessible in the crib room and also below the diaper changing surface.
Plan of Correction: All topicals were moved to an area not within reach of children.
Standard 8VAC20-800-90-A
Based on child record review, immunizations for one child were not obtained.
Evidence:
Child # 1 began care on 04/25/23, immunizations were not obtained prior to start date and are not on file.
Plan of Correction: The immunizations for this child will be obtained from the parent and will be obtained every six months until the child turns 2 years.
View original record on Virginia Department of Social Services