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Carlos Sanchez

Inspection · 2023-08-30

Date
2023-08-30
Complaint Related
No
Licensing Inspector
Pernille Brandt
(703) 203-8659
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
8VAC20-770 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

A renewal inspection was conducted today between 9:15am and 10:30am. There were 10 children present with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed engaging in circle time. A total of 3 child records and 3 caregiver records were reviewed. 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. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations

5
Standard 8VAC20-800-460-C
Based on review of family day home pet records, the pet was not vaccinated for rabies.
Evidence
There was no current documentation available for review of the family day home pet being vaccinated for rabies. The documentation available was expired.
Plan of Correction: The dog has had updated rabies shots. I have contacted the vet and will send the inspector the record as soon as it is received.
Standard 8VAC20-800-60-B
Based on review of children's records, not all records contained the required information.
Evidence
The record for child #1 does not contain an address for the emergency contacts.
Plan of Correction: I will get the emergency contact address information and update the record. I will make sure to get all required information when a child starts care.
Standard 8VAC20-800-680-A
Based on observation, caregivers did not wash their hands with liquid soap and warm running water after diapering a child.
Evidence
Caregiver #3 was observed not washing their hands after changing a diaper.
Plan of Correction: The caregiver was wearing gloves and changed gloves in-between diaper changes. I have reminded her to also wash her hands after she removes the gloves.
Standard 8VAC20-800-680-B
Based on observations, caregivers did not ensure that a child's hands were washed with liquid soap and warm running water after a diapering.
Evidence
Caregiver #3 did not ensure a child's hands were washed after they changed their diaper.
Plan of Correction: All caregivers have been remined to make sure all children's hands are washed after diaper changes and toileting.
Standard 8VAC20-800-690-D
REPEAT VIOLATION
Based on observation, the diapering surface was not cleaned and sanitized after each diapering.
Evidence
After a diapering, the diaper surface was sprayed with cleaned with soap and water and patted dry, but was not sanitized with a solution of bleach and water.
Plan of Correction: All caregivers were remined about cleaning and sanitizing the diapering surface. Caregiver followed the cleaning and sanitizing process on the next diaper change.