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Roxana Memenza

Inspection · 2022-10-11

Date
2022-10-11
Complaint Related
No
Licensing Inspector
Kara Vaughan
(703) 537-6241
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
8VAC20-820 HEARINGS PROCEDURES
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 monitoring/renewal inspection was conducted today from 10:45am-11:30am. There were 5 children directly supervised by 1 staff. The home, 1 staff records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.vaughan@doe.virginia.gov or 703-537-6241.

Violations

9
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
Children 1, 3, and 4's record did not contain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Plan of Correction: 1. Ask the parents of children 1, 3, and 4 to bring the children's physical exam.
2. I will make sure it's as soon as possible.
Standard 8VAC20-800-430-B
Based on observation, pressure mounted gates were used as protective barriers at stair openings.
Evidence:
A pressure mounted gate was observed as a barrier to access the stairs.
Plan of Correction: I will purchase another security door accessible to remove in case of emergency. I will make sure that it is.
Standard 8VAC20-800-50-A
Based on record review, the family day home did not keep a written record of children in attendance each day.
Evidence:
On the date of inspection, there was no documentation of attendance.
Plan of Correction: I will post a daily attendance record with more copies.
Standard 8VAC20-800-60-A
Based on record review, the provider did not maintain an up-to-date record at the family day home for each enrolled child.
Evidence:
There was no record at the family day home for Child 5.
Plan of Correction: The girl started the care on Monday, October 10, 2022. Today I aske the parents to bring the record of the child.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
1. The record for Child 1 did not contain: The name, address, phone number, place of employment for one of the child's parents; the employer or employer address for one of the child's parents; the child's health insurance policy number, documentation that the child's proof of identity was reviewed.
2. Child 2's record did not contain: Documentation that the child's proof of identity was reviewed.
3. Child 3's record did not contain: The child's health insurance carrier or policy number.
4. Child 4's record did not contain: The child's health insurance carrier or policy number or documentation that the child's proof of identity was reviewed.
Plan of Correction: I have requested the parents to complete the information of proof of identity the children's insurance policy and all the necessary information. I will check it.
Standard 8VAC20-800-70-A
Based on record review, parents were not provided the family day home's policies and procedures in writing.
Evidence: Children 1, 2, 3, 4, and 5's record did not contain documentation that the parents have been informed of the provider's policies and procedures in writing.
Plan of Correction: I will implement the provider's record of policies and procedures in writing as soon as possible and have additional copies.
Standard 8VAC20-800-830-A
Based on record review, emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.
Evidence:
There was not an emergency drill conducted for September 2022.
Plan of Correction: The emergency evacuation for the month of September because we forgot. I will put the sped Friday on the calendar [sic[
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.
Evidence:
Child 1 and 5's record did not contain documentation of immunization.
Plan of Correction: 1. Ask parents to bring their children's vaccination record as soon as possible.

2. I will make sure it is as soon as possible.
Standard 8VAC20-800-920
Based on observation, the menu for the current one week period was not posted or otherwise made available to parents.
Evidence:
There was no menu available for inspection.
Plan of Correction: I will look on the Kid Care website for menu templates where I can post and make the daily and monthly menu available to parents.
View original record on Virginia Department of Social Services