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Antonia Velasquez Jimenez

Inspection · 2024-09-20

Date
2024-09-20
Complaint Related
No
Licensing Inspector
Charles Perkins
(703) 309-3963
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.
Yes

Areas Reviewed

22.1 Background Checks Code
63.2 Child Abuse and Neglect
8 VAC 20-790 Subsidy Program Vendor Requirements for Family Day homes

Inspector Notes

An unannounced, on-site, annual Subsidy Health and Safety Inspection (SHSI) was initiated on 09/20/2024 and completed on 09/20/2024. The on-site inspection began at 10 am and ended at 12 pm. The inspector reviewed compliance in the area listed above. There were (2) children present and (1) caregiver; the point total was (5). The inspector reviewed (4) children?s records and (2) adult household records [on-site] on 09/20/2024. This inspection included:

? document review, policies and procedures, allergy lists (no listed allergies), emergency drill logs, authorization forms;
? tour of the facility; and
? interviews.

Information gathered during the inspection determined non-compliance with the applicable standards or law, and the violations were documented on the violation notice issued to the program.

Violations

6
Standard 8VAC20-790-190-B
Vendors shall maintain, and keep at the family day home, written or electronic
information for each enrolled child, which shall be made available to the department's
representative upon request.

Proof of the child's identity was not available; Name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency if the parent cannot be reached; Names of persons other than the custodial parent who are authorized to pick up the child; Written authorization for emergency medical care should an emergency occur; each were not available for Child #1,#2, #3, and #4, all children have been enrolled for over 1 month.
and the parent cannot be located immediately.
Plan of Correction: All missing documentation will be obtained and placed on file.
Standard 8VAC20-790-210-B
Caregivers shall undergo TB screenings at least every two years from the date of
the initial screening, or more frequently if recommended by a physician.

TB documentation was not available for Caregiver #1.
Plan of Correction: TB documentation for Caregiver #1 will be found and/or another copy will be obtained; and placed on file.
Standard 8VAC20-790-250-F
Caregivers who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training, to include the department's health and safety update course. This training shall be related to child safety, child development, health and safety in the family day home environment, and any required department sponsored training.

Certificates for Caregiver #1 reflected a total of 6 hours of annual training.
Plan of Correction: A total of 16 hours of annual training will be completed for next year.
Standard 8VAC20-790-250-G
A medication policy where the vendor may determine what medications, if any, will be administered at its family day home, including prescription medications or over-the-counter or nonprescription medications shall be developed.

Documentation of the medication policy was not available for review and signed by the parents of Child #1, #2, #3, and #4.
Plan of Correction: Medication policy will go out to all parents and written acknowledgement will be filed.
Standard 8VAC20-790-380-A
Vendor will notify the parents of the children in care of the Family Day Homes written sick policy.

Documentation of the sick policy for Child #1, #2, #3, and #4 was not available for review.
Plan of Correction: Sick policy will go out to all parents and written acknowledgement will be filed.
Standard 8VAC20-790-410-A-1
Emergency supplies shall be in the family day home, accessible to
outdoor play areas, on field trips, in vehicles used for transportation, and wherever
children are in care.

A pair of tweezers and a digital thermometer were not available within the first aid kit. This same standard was cited during the initial subsidy inspection.
Plan of Correction: Emergency supplies will be purchased and placed in first aid kit.
View original record on Virginia Department of Social Services