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Claudia Robles Arias

Inspection · 2024-06-13

Date
2024-06-13
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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 House
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
8VAC20-770 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 initiated on Thursday, June 13, 2024, and concluded on Friday, June 14, 2024, to determine the provider's compliance with licensing standards. On June 13, the inspector was on site from 9:15am to approximately 10:28am. During the inspection, there were a total of 13 children in care, totaling 20 points, in the direct care of two caregivers. Upon arrival, the children were observed in their designated areas of the family day home. The children were finishing up breakfast and were in two different groups doing a group activity. Later, the children were observed during circle time. The caregivers were observed having positive interactions with the children in care. All areas used for childcare were inspected. The family day
home has age and stage appropriate materials and supplies. The first aid kit and non-emergency supplies were inspected and found complete. Medication is administered and medications and authorizations were reviewed. Three caregivers' records and five children's records were reviewed. Additional documentation was submitted electronically on June 14, 2024. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

If you have any questions about this inspection, please contact Florence Martus, Licensing Inspector, at 804-389-0157 or florence.martus@doe.virginia.gov.

Violations

4
Standard 8VAC20-800-40-A
Based on observations and interviews, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

Evidence: On June 13, 2024, the inspector observed 13 non-resident children in care. The family day home's licensed capacity is for 12 children. During interview on June 14, Caregiver #1 acknowledged the family day home exceeded the maximum licensed capacity of the home on June 13.
Plan of Correction: The 13th child in care on June 13, left the family day home at noon that day. The provider will ensure the number of children in care do not exceed the licensed capacity in the future.
Standard 8VAC20-800-50-A
Based on a review of documentation, observations, and interviews, the provider did not keep a written record of children in attendance each day.

Evidence: On June 13, 2024, the inspector observed 13 children in care at approximately
9:15am. The daily attendance record reviewed only indicated 11 children were in care. During interview, Caregiver #1 confirmed the daily attendance record for June 13 did not have a complete list of all children in attendance that day.
Plan of Correction: Moving forward, the provider will ensure all children are checked in, including the time of their arrival and departure, to ensure compliance. Parents will be reminded to check each child in and the provider will double check throughout the day.
Standard 8VAC20-800-700-A
Based on a review of documentation, observations, and interviews, the provider did not ensure that a prescription medication shall be given to a child only with written authorization from the parent.

Evidence: On June 13, 2024, a prescription medication was observed for Child #6. The written authorization on file was signed by the parent, but it did not indicate the family day home was authorized to administer the medication. The medication administration log reviewed for Child #6 indicates the medication was administered from 04/26/24 through 05/29/24.
Plan of Correction: The authorization was corrected immediately. In the future, the provider will ensure all medication authorizations are completed correctly and medication will not be administered until all required authorizations are on file for a child that requires medications.
Standard 8VAC20-800-830-C
(Repeat Violation) Based on a review of documentation and interviews, the provider did not ensure documentation of emergency evacuation drills was maintained.

Evidence: On June 13, 2024, the emergency response drills for 2024 were reviewed. The most recent evacuation drill documented was 04/18/2024. An evacuation drill was not documented for May 2024. During interview, Caregiver #1 stated the emergency evacuation drill was practiced, but documentation of the drill was not maintained as required.

Documentation shall be maintained of emergency evacuation and shelter-in-place drills that includes: Identity of the person conducting the drill; the date and time of the drill; the method used for notification of the drill; the number of caregivers participating; the number of children participating; any special conditions simulated; the time it took to complete the drill; problems encountered, if any; and for emergency evacuation drills only, weather conditions.
Plan of Correction: The missing documentation was added. In the future, the provider will ensure all drills are documented as they occur to ensure compliance with the requirements.
View original record on Virginia Department of Social Services