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Silvia Rosales Galdamez

Inspection · 2023-05-24

Date
2023-05-24
Complaint Related
No
Licensing Inspector
Jessica Willis
(571) 352-1453
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
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Inspector Notes

An announced initial inspection was completed on 5/24/2023 between the hours of 1:00pm-3:10pm. There were 4 children present (13 points) with the provider and one assistant. A variety of age appropriate materials were observed in the family day home. The Inspector reviewed 4 children's records, 2 caregiver/household member records, and the Emergency Preparedness Plan submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations

7
Standard 8VAC20-800-520-A
Based on observation, cribs were not provided for 2 children under 12 months of age.

Evidence:
Child #1 (age 11 months) and Child #3 (age 8 months) were present at the family day home during the inspection. There were no cribs available for use during rest time at the family day home.
Plan of Correction: We will purchase cribs.
Standard 8VAC20-800-60-B
Based on record review, 1 of 4 children's records reviewed did not contain all required information.

Evidence:
1. The record for Child #2 did not contain documentation of the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached
Plan of Correction: We will talk with the parent.
Standard 8VAC20-800-750-A
Based on observation, topical skin products did not meet all requirements.

Evidence:
1. Two topical products were provided by the parent for Child #1. The products were not labeled with the child's name.
Plan of Correction: We will label the skin products.
Standard 8VAC20-800-760-A-1
Based on observation, the first aid kit did not contain all required supplies.

Evidence:
The first aid kit did not contain triangular bandages.
Plan of Correction: We will buy triangular bandages.
Standard 8VAC20-800-790
Based on observation, the required telephone numbrs were not posted in a visible area.

Evidence:
The following numbers were not posted in a visible area:
1. A 911 or local dial number for police, fire, and emergency medical responders;
2. The responsible person for emergency backup care
3. The regional poison control center.
Plan of Correction: We will post the required numbers.
Standard 8VAC20-800-80-C
Based on record review, 4 of 4 children's records reviewed did not contain documentation of viewing proof of identity within seven business days of the child's first day of attendance..

Evidence,
1. The records for Child #1,2,3, and 4 did not contain the signature of the person viewing the proof of identity document and the date the document was viewed.
Plan of Correction: We will update the forms with the signatures and dates.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that 2 of 4 children have been adequately immunized before their first day.

Evidence:
1. The records for Child #1 and Child #2 did not contain documentation of immunizations received.
Plan of Correction: We have been in ongoing contact with the parents regarding the forms and will continue to request from the parents.
View original record on Virginia Department of Social Services