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Paula Vasquez Lopez

Inspection · 2024-10-23

Date
2024-10-23
Complaint Related
No
Licensing Inspector
Stephanie Salvatori
(571) 389-0980
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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
8VAC20-790 Introduction
VAC20-790 Administration
VAC20-790 General Qualifications
8VAC20-790-Building or Home Maintenance
8VAC20-790 Supervision and Ratio Requirements
8VAC20-790 Programs
8VAC20-790 Special Care Provision & Emergencies
8VAC20-790 Special Services

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 renewal inspection was initiated and completed on October 23, 2024. The on-site inspection began at 10:00am and ended at 11:40am. The inspector reviewed compliance in the areas listed above. There were 7 children present and 2 caregivers; the point total was 27. The inspector reviewed 7 children's records and 2 caregivers.

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

8
Standard 8VAC20-800-320-I
The absence of smoke detectors as required by the Uniform Statewide Building Code and the Statewide Fire Prevention Code. The provider shall comply with the requirements made by the fire prevention or building officals to eliminate fire hazards.

The smoke detector was disassembled and missing batteries.
Plan of Correction: I had taken it down to replace the batteries. I have installed the new batteries and it is now fixed. I will be sure to replace the batteries immediately.

Violation corrected during the inspection.
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.

There were only two (2) cordless telephones available during the inspection.
Plan of Correction: I will buy a phone that is not cordless tomorrow.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering.

Child #3 hands were not washed after diapering.
Plan of Correction: Handwashing procedures were reviewed with the caregiver and will ensure hands are always washed after diapering.

Violation corrected during the inspection.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each use.

The caregiver did not clean and sanitized the diapering surface after each use.
Plan of Correction: The cleaning procedures were demonstrated to the caregiver. The surface will be cleaned and disinfected after each diaper change.
Standard 8VAC20-800-750-A
When topical skin products such as diaper ointment are used, the product shall be labeled with the child's name.

Three tubes of diaper creams were not labeled with a child's name.
Plan of Correction: I will write the names on the cream now. I will be sure the names are always on the creams.

Violation corrected during the inspection.
Standard 8VAC20-800-750-D
Topical skin product, such as diaper cream, shall not be used beyond the expiration date of the product.

Destin diaper cream had an expiration date of 06/2024.
Plan of Correction: I did not notice the cream had expired. I will be sure to check in the future.

Violation corrected during the inspection.
Standard 8VAC20-800-760-A-1
A first aid kit shall contain at a minimum of triangular bandages.

The kit did not have more than one (1) triangular bandage available.
Plan of Correction: I will buy another triangular bandage today.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunization is to be obtained for each child.

Documentation of immunization for Child #1 was obtained over 4 weeks after attendance. Documentation of immunization for Child #3 was obtained 3 weeks after attendance. Documentation of immunization for Child #7 was obtained 2 days after attendance.
Plan of Correction: The provider will obtain the immunization record on or before the child attends.
View original record on Virginia Department of Social Services