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Alondra Sanchez

Inspection · 2024-07-09

Date
2024-07-09
Complaint Related
No
Licensing Inspector
Whitney Mcgrath
(571) 835-4717
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
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
20 Access to minors 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 conducted today between 3:15pm and 4:25pm. At the start of the inspection there were 12 children present with two assistant caregivers for a total of 30 points within the supervision guidelines. The provider later arrived at the family day home from an appointment. The children were observed eating lunch and playing freely. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice.

Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.

Violations

5
Standard 8VAC20-800-100-A
REPEAT VIOLATION
Based on record review, the provider did not obtain documentation of a physical exam within the first 30 days of attendance.
Evidence: Child #1s (date of enrollment: 3/16/2023) record does not contain documentation of a physical exam.
Plan of Correction: I'll request the physical from the family.
Standard 8VAC20-800-50-A
Based on record review, the family day home does not keep a written record of children in attendance each day.
Evidence: Daily attendance has not been recorded since 6/25/2024.
Plan of Correction: We'll start doing it daily.
Standard 8VAC20-800-720-B
Based on observation, medication was kept beyond the expiration date.
Evidence: Child's Benadryl expired 2/2024, Zyrtec expired 2/2024 and 2 topical ointments expired 1/2024 and 6/2024.
Plan of Correction: I'll send them home with the parents.
Standard 8VAC20-800-730-D
Based on observation, medications were not kept in a locked place using a safe locking method that precents access by children.
Evidence: Four medications were observed in child #6s cubby in the children's bathroom. The medication was not locked.
Plan of Correction: I'll be sending them home.
Standard 8VAC20-800-880
Based on observation, the family day homes did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food
Program of the United States Department of Agriculture (USDA).
Evidence: The children were not served milk with lunch.
Plan of Correction: I will start serving milk with each meal.