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Dora Cedillo Amaya

Inspection · 2024-07-26

Date
2024-07-26
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.
No

Areas Reviewed

8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC 20-800 Transportation
8 VAC2 0-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Inspector Notes

An announced, on-site initial inspection was initiated on 07/26/2024 and completed on 07/26/2024. The on-site inspection began at 10 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were 2 children present with 1 resident child and 1 staff. The inspector reviewed 4 children?s records and 1 staff records on-site on 07/24/2024. This inspection included:

? document review of policies and procedures, emergency drill logs, authorization forms, 3 household records,
? tour of the facility, and
? interviews.

Information gathered during the inspection determined (4) non-compliances with the applicable standards, and the violations were documented on the violation notice issued to the program.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations

4
Standard 8VAC20-800-100-A
Based on review, 1 of 4 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the first day of attendance.

Evidence -
1. On the date of inspection (07/26/2024), documentation of a physical examination was not available for review for Child #2.
2. The start date for Child #2 was listed as 04/01/2024.
Plan of Correction: Will request from Parent a copy of the child's physical and place on file.
Standard 8VAC20-800-60-B
Based on review, 1 of 4 children files indicated that not all of the required information was contained within each child's record.

Evidence -
On the date of inspection (07/26/2024), the following information was not available for Child #2 (start date - 04/01/2024):
1. Parent's work information
2. Doctor's address and phone number
3. The information for 1 of 2 emergency contacts was listed.
4. The medical insurance (policy name and number).
Plan of Correction: Parent will be contacted in order to obtain all missing information.
Standard 8VAC20-800-70-B
Based on review, 4 of 4 children files indicated that not all of the required signed information was kept on site.

Evidence -
On the date of inspection (07/24/2024) the following documents were not available for review for Child #1, #2, #3, and #4:
1. Information for Parents form
2. Provisional of the Emergency Preparedness and Response Plan form
3. Liability Insurance Declaration form
Plan of Correction: All parents will be given new forms to be completed and placed on file.
Standard 8VAC20-800-800-A
Based on observation, the Family Day Home (FDH) did not have a completed Emergency Preparedness and Response Plan (EP&RP) available for review.

Evidence -
1. On the date of inspection (07/26/2024), the FDH did not have a completed EP&RP.
2. The plan available on site was still blank.
Plan of Correction: A completed EP&RP will be created and posted on bulletin board for all to review.
View original record on Virginia Department of Social Services