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Ms. Ghazala Shah

Inspection · 2023-08-21

Date
2023-08-21
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
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
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted on 08/21/2023 from 10:20am to 12:05pm. There were 5 children ages 14 months to age 3 years old (14 points) with the Provider. The programming area, attendance, outdoor playground area, menus, Provider, Assistant and Household member records, 5 children?s records, emergency drills, emergency supplies, and policies were reviewed. Children were observed participating in free play. Handwashing procedures were also observed. There was an adequate number of staff present with current certification in MAT, CPR and First Aid training. Areas of non-compliance are identified in the Violation Notice.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 8/24/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations

3
Standard 8VAC20-800-60-B
(Repeat Violation) Based on review of 5 child records, the Provider did not obtain information on allergies and intolerance to food, medication, or any other substances, and actions to take in an emergency situation.

Evidence: The record for Child #1 did not contain the action to take in an emergency situation for the physician diagnosed food allergies and parent indicated food intolerances.
Plan of Correction: Mother gave me new paper work that he doesn't have any allergies.
Standard 8VAC20-800-730-D
(Repeat Violation) Based on observation and staff interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.
Evidence: A medication was stored unlocked on top of a table in the front hall where children enter the home and have access.
Plan of Correction: You won't see that anymore!
Standard 8VAC20-800-90-C
Based on review of 5 child records, the Provider did not ensure they obtained documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of two years.

Evidence:
1)The record for Child #1 (age 2) did not contain immunizations once every 6 months for a child under the age of 2 years. The last immunization documentation contained in the record was dated 8/5/22 when the child was 15 months old.
2)The record for Child #5 (age 3) did not contain immunizations once every 6 months for a child under the age of 2 years. The last immunization documentation contained in the record was dated 11/22/21 when the child was 18 months old.
Plan of Correction: I have taxed you the paperwork. Please check it out that was given from the parent. I have new paperwork from 8/21/2023.
View original record on Virginia Department of Social Services