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Natalia C. Quiroga

Inspection · 2021-08-23

Date
2021-08-23
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
22VAC40-665 Special Care Provisions & Emergencies

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documents review and interview.

An initial inspection was conducted on 8/23/21. The caregiver was contacted by telephone and a virtual inspection was conducted.
There were no children present during the inspection, however the provider is currently caring for 2 children. Two children and the 3 household member's files were reviewed.

The entire home was inspected virtually with a focus on the downstairs basement which is the primary day care space. The basement area is spacious, with age appropriate furnishings, and a sufficient quantity and variety of play materials and equipment for the requested age and capacity

Three cribs were inspected and the documentation showed that the three cribs were manufactured in 9/2020.

Information gathered during this inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

11
Standard 22VAC40-111-100-A
Based on interview, it was determined that there were no physicals on file for child A and B, who have been in care since 2019.
Plan of Correction: I will get the physicals.
Standard 22VAC40-111-320-A
Based on observation, it was determined that small appliances ( tea kettle, mixer and air fryer) were plugged into outlets while not in use.
Plan of Correction: The appliances were unplugged during the inspection.
Standard 22VAC40-111-330-A
Based on interview, it was determined that there was no landline telephone in the home.
Plan of Correction: I will get a landline phone.
Standard 22VAC40-111-60-B
Based on a review of two children's files, it was determine that the required components were missing.
Evidence:
The following were missing from child A and B's files:
Insurance information, addresses for two emergency contacts, physicians contact number, parent acknowledgement of receipt of the information required by standard 70, proof of identity, written authorization for emergency medical care.
Plan of Correction: I will use the model forms and get this information.
Standard 22VAC40-111-690-D
Based on observation and interview, it was determined that the diapering surface was an absorbent surface that was covered with a plush soft material. The diapering surface shall be nonabsorbent and washable.
Plan of Correction: I will remove the soft material and make sure to only use the nonabsorbent and washable surface.
Standard 22VAC40-111-70-A
Based on interview and a review of 2 children's files, it was determined that parents were not provided in writing information required by this standard.
Evidence:
Child A and B enrolled in 2019 and the parents have not been provided in writing information regarding operating information , check in and out procedures, policeis for administering medication, whether or not there is liability insurance, requirements of notification to parents if their child becomes sick, reportable communicable disease notification, polices regarding caregivers being mandated reports , custodial parents rights, polices for food, presence of pets in the home, discipine policies, provisions for emergency preparedness plan, policies for termination of care etc.
Plan of Correction: I will use the model agreement and fill it out and have parents sign it.
Standard 22VAC40-111-790
Based on observation and interview, it was determined that the following numbers were not posted as required by this standard ( 911, Poison Control and Emergency Back-Up Person).
Plan of Correction: I will post these numbers.
Standard 22VAC40-111-880
Based on a review of the weekly menu, it was determined that the meals and snacks provided does not meet the nutritional requirements set forth by USDA.
Evidence:

Milk is not being served with the two snacks and lunch. Breakfast does not always consist of a grain/bread or juice or fruit or vegetable. The lunches do not consist of 2 servings of vegetables or fruit or both. The afternoon snacks does not consist of 2 components.
Plan of Correction: I will make sure the menu reflects the USDA requirements.
Standard 22VAC40-111-90-A
Based on interview, it was determined that there were no immunization records on file for child A and B, who have been in care since 2019.
Plan of Correction: I will get the immunization records.
Standard 22VAC40-111-940-B
Based on interview, it was determined that there was no thermometer to gauge the temperature in the refrigerator or freezer.
Plan of Correction: I will get a thermometer.
Standard 22VAC40-665-390-B-2
Based on interview and observation, it was determined that there was no battery operated weather band radio.
Plan of Correction: I will get a battery operated weather band radio.
View original record on Virginia Department of Social Services