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Veronica Pacheco

Inspection · 2024-10-29

Date
2024-10-29
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
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 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 10/29/24. The on-site inspection began at 2:40 pm and ended at 3:35pm. The inspector reviewed compliance in the areas listed above. There were 3 children present and 1 caregiver; the point total was 7. The inspector reviewed 3 children?s records and 1 caregiver record on-site.
This inspection included document review, tour of the facility, interviews and observations.
Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

6
Standard 8VAC20-800-100-A
Repeat Violation:
The provider shall obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

There were no physicals on file for child #1 and child #2, both have been enrolled for approximately 34 days.
Plan of Correction: I will obtain the physicals.
Standard 8VAC20-800-430-B
Accordion expansion gates and pressure mounted gates shall not be used as protective barriers at stair openings.
A pressure mounted gate was propped at the entrance of the stairs opening and there was a toddler present in the home.
Plan of Correction: I will block the stairs to prevent access.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water before eating.
There were two children eating a snack and their hands were not washed prior to the snack being served.
Plan of Correction: I will make sure that children's hands are washed before eating.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each use.

The diapering surface is not being cleaned nor sanitized in a way where the diapering pad is neither sprayed nor dipped into a sanitizing solution and then allowed to air dry.
Plan of Correction: I will make sure the diapering area is properly cleaned and sanitized after each use.
Standard 8VAC20-800-690-E
Soiled disposable diapers and wipes shall be disposed of in a storage system that is either food operated or used in a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.

Soiled diapers and wipes are disposed of in a container whereby the caregivers must use their hand to open the container.
Plan of Correction: I will use a step on container to dispose of soiled diapers and wipes in.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.
There were no immunization documentation on file for child #1 and child #2. Both children have been enrolled for over 30 days.
Plan of Correction: I will obtain the immunization records.
View original record on Virginia Department of Social Services