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Carlos Sanchez

Inspection · 2024-07-31

Date
2024-07-31
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

An unannounced, on-site monitoring inspection was initiated and completed July 31,2024. The on-site inspection began at 9:15am and ended at 10:30am. The inspector reviewed compliance in the areas listed above. There were 12 children present and 2 caregivers; the point total was 34. A third caregiver arrived approximately 13 minutes after the inspector arrived. The inspector reviewed 5 children's records and 3 caregivers and 1 household member records on-site. This inspection included document review and a tour of the family day home.
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.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 8, 2024. A POC submitted after this date will not appear on the public website.

Violations

6
Standard 8VAC20-800-100-A
Based on review of children's records, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.
Evidence
Child #2, first day of attendance 4/15/2024, does not have documentation of a physical in their record.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-30-A
Based on observation and interview the provider is not ensuring compliance with the terms of the current license issued by the department.
Evidence
Based on the tour of the family day home the provider confirmed that they do not live in the family day home as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-430-A
Based on observation, children under two years of age have access to stairs.
Evidence
Children had access to the stairs leading up to the upper level of the home. The gate was not in place leaving the stairs accessible.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-570-A
Based on observation, the provider did not ensure that a caregiver did not exceed 16 points.
Evidence
The total points assigned to the children in care was 34.
Each caregiver is allowed to care for up to 16 points each.
There were two caregivers onsite when the inspector arrived at 9:15am.
A third caregiver arrived at 9:28am.
Two caregivers can only care for up to 32 points.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
REPEAT VIOLATION
Based on review of children's records, the children's records did not contain all the required documentation.
Evidence
The record for child #1 did not contain the address for two emergency contacts.
The record for child #3 did not contain documentation of an annual parental review of the child's record. The last review was 7/21/2023.
The record for child #4 did not contain documentation of an annual parental review of the child's record. The last review was 7/23/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Based on review of children's records, the family day home did not obtain documentation of additional immunizations for a child who is under the age of two every six months.
Evidence
Child #1 (9 months old) does not have documentation of an updated immunization record every six months. The immunization record in their file is dated 12/29/2023.
Plan of Correction: Not available online. Contact Inspector for more information.