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Shanise Alvarado

Inspection · 2023-10-31

Date
2023-10-31
Complaint Related
No
Licensing Inspector
Kimberly Sampson
(757) 354-7307
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
8VAC20-820 THE LICENSING PROCESS
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 inspection was conducted on 10/31/23. At the time of entrance, 4 children totaling 16 points were in care with the substitute provider. The record sample size consisted of 4 children's records and the provider's record and the substitute's record. The children in care were observed engaging with the provider and napping. There have been no injuries since the last inspection and no medications are being administered at this time. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.

Violations

5
Standard 8VAC20-800-120-A
Based on record review and interview it was determined that provider did not ensure all the required information was in he record for each caregiver.
Evidence:
1. There were no references or documentation of orientation in the record for the substitute provider(hired 10/11/23).
2. Substitute provider was alone with the children in care throughout this inspection.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-3
Based on record review and interview it was determined the provider did not ensure that the substitute provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
Evidence:
The substitute provider was alone with the children in care during this inspection. The substitute stated that her CPR certification was not current.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-140-B-4
Based on record review and interview it was determined the provider did not ensure that the substitute provider had current certification in first aid.
Evidence:
The substitute provider was alone with the children in care during this inspection. The substitute stated that her first aid certification was not current.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
Based on record review it was determined the provider did not ensure that parents were given the required information in writing.
Evidence:
The records for child #1(enrolled 4/3/23) and child #2(enrolled 9/11/22) did not contain documentation of the parents being given the required information for parents and emergency preparedness and response plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on record review it was dtermiend 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 prior to tehir attending the family day home.
Evidence:
The records for child #3(enrolled 10/9/23) and child #4(enrolled 10/9/23) did not contain documentation of immunizations.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services