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Patrycja Kuklinski

Inspection · 2024-08-13

Date
2024-08-13
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, on-site monitoring inspection was initiated and completed on 08/13/2024, as a part of licensure period. The on-site inspection began at 10:00am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 6 children present and 2 caregivers; the point total was 13 points. The inspector reviewed 3 children?s records and 2 staff records and 1 household record on-site This inspection included observations, interviews, tour of the family day home and document review.

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

4
Standard 8VAC20-800-180-A
Based on staff and household file review, the provider failed to obtain a TB screening every two years.
Evidence:
Staff #1's most recent TB screening was dated in June 2022. Household member #1's most recent TB screening was dated in June 2022.
Plan of Correction: Appointments will be scheduled and a risk assessment for both will be obtained.
Standard 8VAC20-800-680-A
Based on observation of diapering, one caregiver did not wash their hands.
Evidence:
1. Staff #2 was observed diapering two children. Staff #2 did not wash their hands between the two diaper changes.
2. Staff #2 was observed serving food to children without washing their hands prior to serving the food.
Plan of Correction: Staff will be reminded to wash hands every day before and after eating or serving food and diapering.
Standard 8VAC20-800-680-B
Based on observation, a caregiver failed to ensure that children's hands were washed.
Evidence:
1. Staff #2 was observed diapering children. Staff #2 did not ensure that the children's hands were washed after the diapering.
2. Staff #1 and #2 did not ensure that children's hands were washed before lunch.
Plan of Correction: The children got up from the table and washed their hands before eating lunch today. Staff will require children to wash hands before and after eating and after having a diaper change.
Standard 8VAC20-800-750-D
Based on a review of topical ointments onsite, one product was used beyond the expiration date.
Evidence:
A topical ointment for Child # 3 expired in May 2024.
Plan of Correction: This topical ointment will be returned to the parent today.