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Guadalupe Burgoa
823 N. Van Dorn Street
Alexandria, VA 22304
(571) 445-2492

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: March 22, 2022

Complaint Related: No

Areas Reviewed:
22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes
22VAC40-665 General qualifications
22VAC40-665 Building or home maintenance.
22VAC40-665 Supervision and ratio requirements
22VAC40-665 Programs
22VAC40-665 Special Care Provisions & Emergencies
22VAC40-665 Special Services

Technical Assistance:
Discussed the need for an allergy action plan. A sample action plan will be sent to the Provider to use as a reference.

Comments:
A subsidy health and safety (SHSI) inspection was conducted today. There were 5 children present with the Provider supervising. A licensing inspection was also conducted on this date. Both inspections combined cover subsidy health and safety regulations. Only subsidy requirements that are not covered in licensing standards were reviewed during this supplemental inspection. 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. Please email me at: lisa.hudson@doe.virginia.gov with questions.

Violations:
Standard #: 8VAC20-790-190-B-12
Description: Based on review of children's records, one record did not contain a written care plan for a food allergy.
Evidence:
Child # 1 has a diagnosed food allergy. A written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction was not obtained.

Plan of Correction: Licensing Inspector will send an allergy action care plan and I will have the parent request the Dr to complete the plan.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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