VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shirley Leon Guzman de Meza
106 Domino Ct.
Stephenson, VA 22656
(571) 373-9165

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Sept. 27, 2022

Complaint Related: 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. 8VAC20-770 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.

Comments:

A non-mandated inspection was conducted on September 27, 2022 from 11:30 A.M.-1:30 P.M. There were five children present for a total of 15 points, ranging in ages from 7 months to three years of age, with one staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and one caregiver record were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:

Standard #:	8VAC20-800-110-B
Description:	Based on a review of children records, the provider failed to ensure that physical examinations and immunizations were signed by a licensed physician, the physician's designee or an official of a local health department. Evidence: 1. There was no signature, stamp, or electronic signature on Child #1's physical examination and immunizations. 2. There was no signature, stamp, or electronic signature on Child #2's immunizations.
Plan of Correction:	The provider will contact the parent and request the information. In the future when a child enrolls the provider will request proof of age and identity before the child attends.
Standard #:	8VAC20-800-60-A
Description:	Based on review of children records, the center failed to ensure that all required information were in the children's records. Evidence: 1. Child #1's file was missing a complete address for one of the emergency contacts. 2. Child #2 and Child #3's file was missing a complete address for the two emergency contacts listed. 3. Child #3's file was missing the written authorization for emergency medical care should an emergency occur and the parent cant be located immediately. 4. Child #4 and Child #5's file was missing the fathers employer address and work phone number; the mother's work phone number; the name of the child's physician, address, and phone number; health care policy number; two emergency contacts and required address and phone number; and a list of who is authorized to pick the child up from care.
Plan of Correction:	The provider will contact the parents and request the information. In the future when a child enrolls the provider will review the paperwork that all required information is provided.
Standard #:	8VAC20-800-80-A
Description:	Based on review of children records, the center failed to ensure that proof of age and identity was provided within seven days of the child's first day of enrollment. Evidence: 1. Child #1's date of enrollment was 08/08/2022 there was no documentation that proof of age and identity had been verified. 2. The provider verified that proof of age and identity had not been verified.
Plan of Correction:	The provider will contact the parents and request the information. In the future when a child enrolls the provider will review the paperwork that all required information is provided.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of children records, the provider failed to ensure that immunizations were received and on file prior to the child first day of enrollment. Evidence: Child #1's first day of enrollment was August 8, 2021. The immunizations were dated 08/16/2022.
Plan of Correction:	In the future all children will be required to have immunizations on file before the child can attend.
Standard #:	8VAC20-800-550
Description:	Based on observation, the provider failed to ensure that a play pen was not used a designated sleeping location. Evidence: 1. On 9/27/2022 a child, (age 7 months), was observed sleeping in a play pen. 2. The provider verified that the play pen was the child's designated sleeping space.
Plan of Correction:	The provider will obtain a crib that meets requirements and talk with the parents about the use of a play pen as a sleeping space.