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Esperanza Claros Munoz

Inspection · 2024-09-16

Date
2024-09-16
Complaint Related
No
Licensing Inspector
Lynette A Storr
(703) 309-9153
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
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, on-site renewal inspection was conducted on 9/16/2024, as a part of the conditional licensure period. The on-site inspection began at 11:05 and ended at 12:45. The inspector reviewed compliance in the areas listed above. There were 5 children present, including 2 resident children and 2 caregivers; the point total was 18. The inspector reviewed 3 children?s records and 2 caregiver records on-site. This inspection included document review of policies and procedures, emergency drill logs, authorization forms, emergency supplies and protocols, tour of the home, 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

9
Standard 22.1-289.035-B-1
The provider is required to obtain a completed sworn statement for employees prior to 1st day of employment.

The sworn statement for Caregiver #3, who is currently working, was dated after their first day of employment.
Plan of Correction: Caregiver completed Sworn statement during inspection.
Standard 8VAC20-800-200-A
The provider must orient assistants by the end of their first week of assuming job responsibilities.
Assistant caregivers #2 and #3 have not completed orientation by the provider. Caregivers #2 and #3 assumed job responsibilities over a week ago.
Plan of Correction: Provider to orient assistant caregivers today.
Standard 8VAC20-800-330-A
A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation.
The provider did not have a landline telephone available during hours of operation.
Plan of Correction: Provider to purchase landline phone.
Standard 8VAC20-800-60-A
An up to date record for each child enrolled shall be maintained by the provider.

There was no record for child #2 and child #3, who were in care during the inspection and today was their first day in attendance.
Plan of Correction: Provider requesting information be completed at pick up on this day.
Standard 8VAC20-800-60-B
Children's records are required to contain name addresses and phone numbers of two designated persons to contact in case of an emergency if the parent cannot be reached.

Child #1's emergency contact #1 did not have address and no information on a second person to contact in case of an emergency if the parent cannot be reached. The child was present during the inspection and had been in care for 7 weeks.
Plan of Correction: Provider requesting information be completed on this day at pick up.
Standard 8VAC20-800-770
A working portable battery-operated weather band radio shall be available to caregivers at all times.
The provider did not have a portable battery-operated weather band radio available.
Plan of Correction: Provider to purchase weather band radio.
Standard 8VAC20-800-790
The telephone number of the responsible person for emergency backup care should be posted in a visible area close to the telephone.
No telephone number was posted of the responsible person for emergency backup care.
Plan of Correction: Provider to post telephone number of the responsible person for emergency backup care.
Standard 8VAC20-800-80-C
Within seven business days of the child's first day of attendance, the provider shall document method of verification of the identity and age of the child.
The provider did not document the method of verification of the child's age and identity in the child's record for child who has been attending seven weeks.
Plan of Correction: Provider requesting parents provide required documentation on this day.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

Child #3's record did not contain immunizations. Child #3 was in attendance during the inspection and today was first day attending.
Plan of Correction: Provider requesting documentation from parent at pick up/prior to next day of attending.