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Shirley Leon Guzman de Meza

Inspection · 2022-09-27

Date
2022-09-27
Complaint Related
No
Licensing Inspector
Stephanie Reed
(540) 272-6558
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
8VAC20-820 THE LICENSE.
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.

Inspector Notes

A non-mandated inspection was conducted on September 27, 2022 from 11:30 A.M.-1:30 P.M. There were five children present for a total of 15 points, ranging in ages from 7 months to three years of age, with one staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and one caregiver record 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.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations

5
Standard 8VAC20-800-110-B
Based on a review of children records, the provider failed to ensure that physical examinations and immunizations were signed by a licensed physician, the physician's designee or an official of a local health department.

Evidence:
1. There was no signature, stamp, or electronic signature on Child #1's physical examination and immunizations.
2. There was no signature, stamp, or electronic signature on Child #2's immunizations.
Plan of Correction: The provider will contact the parent and request the information. In the future when a child enrolls the provider will request proof of age and identity before the child attends.
Standard 8VAC20-800-550
Based on observation, the provider failed to ensure that a play pen was not used a designated sleeping location.

Evidence:
1. On 9/27/2022 a child, (age 7 months), was observed sleeping in a play pen.
2. The provider verified that the play pen was the child's designated sleeping space.
Plan of Correction: The provider will obtain a crib that meets requirements and talk with the parents about the use of a play pen as a sleeping space.
Standard 8VAC20-800-60-A
Based on review of children records, the center failed to ensure that all required information were in the children's records.

Evidence:
1. Child #1's file was missing a complete address for one of the emergency contacts.
2. Child #2 and Child #3's file was missing a complete address for the two emergency contacts listed.
3. Child #3's file was missing the written authorization for emergency medical care should an emergency occur and the parent cant be located immediately.
4. Child #4 and Child #5's file was missing the fathers employer address and work phone number; the mother's work phone number; the name of the child's physician, address, and phone number; health care policy number; two emergency contacts and required address and phone number; and a list of who is authorized to pick the child up from care.
Plan of Correction: The provider will contact the parents and request the information. In the future when a child enrolls the provider will review the paperwork that all required information is provided.
Standard 8VAC20-800-80-A
Based on review of children records, the center failed to ensure that proof of age and identity was provided within seven days of the child's first day of enrollment.

Evidence:
1. Child #1's date of enrollment was 08/08/2022 there was no documentation that proof of age and identity had been verified.
2. The provider verified that proof of age and identity had not been verified.
Plan of Correction: The provider will contact the parents and request the information. In the future when a child enrolls the provider will review the paperwork that all required information is provided.
Standard 8VAC20-800-90-A
Based on a review of children records, the provider failed to ensure that immunizations were received and on file prior to the child first day of enrollment.

Evidence:
Child #1's first day of enrollment was August 8, 2021. The immunizations were dated 08/16/2022.
Plan of Correction: In the future all children will be required to have immunizations on file before the child can attend.
View original record on Virginia Department of Social Services