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Natalia C. Quiroga

Inspection · 2024-02-02

Date
2024-02-02
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

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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted today with the provider from 9:30 am to 10:50 am. The provider was present with a second caregiver, 8 children, ages ranging from 14 months to 5 years, for a total of 21 points. There were no medications on site, however the provider has Medication Administration Training, which wont expire until 9/3/25. The provider's First Aid/CPR certification expires in August 2025. The provider reported that there have been no injuries/accidents. Eight children and four adult ( household/caregiver) files were reviewed during this inspection. The areas of non compliance are outlined on the violation notice.

Violations

11
Standard 22.1-289.035-B-2
Repeat Violation:
Based on interview, it was determined that an employee did not have a fingerprint background check at the time of hire.
Evidence:
Person D was hired on 9/11/23 and to date does not have a Fingerprint background check.
Plan of Correction: We will get the fingerprint background check.
Standard 8VAC20-770-60-C-2
Based on interview, it was determined that an employee did not have a central registry finding background check within 30 days of employment.
Evidence:
Person D was hired on 9/11/23 and to date does not have a central registry background check.
Plan of Correction: We will get the central registry background check.
Standard 8VAC20-800-120-B
Based on interview, it was determined that a caregiver did not have a record that contained required information.
Evidence:
Person D was hired on 9/11/23 and to date the file was missing the following: 1) address, verification of age, job title, emergency contact information and references. This information is required at the time of the hire date.
Plan of Correction: I will get and document this information in the file.
Standard 8VAC20-800-170-A
Repeat Violation:
Based on interview, it was determined that an employee and caregiver did not have a tuberculosis test/screening prior to coming into contact with the children and at the time of hire.
Evidence:
Person D does not have a tuberculosis test/screening on file. Person D was hired on 9/11/23.
Plan of Correction: Person D will get the tuberculosis test.
Standard 8VAC20-800-180-A
Based on a review of recordkeeping and interview, it was determined that caregivers and household members did not have a repeat tuberculosis test/screening on file every two years from the date of the first test.
Evidence:
Person A and C's tuberculosis tests were dated 4/18/21, Person B's tuberculosis test was dated 3/25/21. These tuberculosis tests have not been repeated within 2 years.
Plan of Correction: We will get the repeat tuberculosis tests.
Standard 8VAC20-800-200-A
Based on interview, it was determined that Person D did not have orientation training by the end of their first week of assuming job responsibilities. Person D assumed their job duties on 9/11/23.
Plan of Correction: When Person D returns to provide care, I will give the orientation training.
Standard 8VAC20-800-210-A
Based on a review of recordkeeping and interview, it was determined that caregivers did not have 16 hours of annual training for 2023.
Evidence:
Person A and B both had 5 of the 16 hours of annual training for 2023.
Plan of Correction: We will obtain the additional training.
Standard 8VAC20-800-280
Repeat Violation:
Based on observation, it was determined that a hazardous substance was in reach of the children.
Evidence:
The Licensing Inspector observed a container of hand sanitizer stored on the ledge of the half door in the basement. The children present could reach the hand sanitizer.
Plan of Correction: The hand sanitizer was removed during the inspection.
Standard 8VAC20-800-460-C
Based on a review of recordkeeping and interview, it was determined that the household pet was not up-to-date with their rabies vaccination.
Evidence:
Charlie, the household dog's rabies expired on 8/25/23.
Plan of Correction: We will update the rabies vaccination.
Standard 8VAC20-800-80-A
Based on a review of 8 children's files and interview, it was determined that within 7 business days of one child's first day of attendance, the provider did not obtain proof of identify.
Evidence:
Child A enrolled on 2/20/23 and there has been no proof of identify established.
Plan of Correction: We will view the proof of identity.
Standard 8VAC20-800-830-B
Repeat Violation:
Based on a review of recordkeeping and interview, it was determined that shelter in place procedures have not been practiced at least twice per year.
Evidence:
There were no shelter in place procedures or 2023.
Plan of Correction: We will conduct and document the shelter in place drills.
View original record on Virginia Department of Social Services