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Ms. Ghazala Shah

Inspection · 2024-08-13

Date
2024-08-13
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, on-site renewal inspection was initiated on 8/13/24. The on-site inspection began at 10:45am and ended at 12:35pm. The inspector reviewed compliance in the areas listed above. There were 5 children present and 1 caregiver; the point total was 14. The inspector reviewed 5 children?s records and 2 staff records on-site. This inspection included document review, tour of the facility, interviews, observations, and measurements. 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 8/21/24. A POC submitted after this date will not appear on the public website

Violations

4
Standard 8VAC20-800-240-A
Based on observation and Provider interview, the Provider did not ensure that areas and furnishings of the family day home, inside and outside were maintained in a clean, safe and operable condition.

Evidence: There is a closet in the infant crib room that is unlocked and contains items piled as high as 5 feet from the ground that fall forward as soon as the door is opened.
Plan of Correction: The lock was put on it
Standard 8VAC20-800-430-B
Based on Provider interview, the Provider did not ensure that accordion expansion gates or pressure mounted gates were not used as protective barriers at stair openings.

Evidence: The Provider stated that they use a pressure mounted gate as a barrier to block the top of the stairs on the deck where the children play with bubbles.
Plan of Correction: They are not going to go on the deck.
Standard 8VAC20-800-60-B
(Repeat Violation) Based on review of 5 children?s records, the Provider did not obtain all of the required documentation for child records.

Evidence:
1)The record for Child #1 and Child #5 did not contain written authorization for emergency medical care.
2)The record for Child #4 did not contain the medical insurance policy number as required.
Plan of Correction: They were fixed
Standard 8VAC20-800-730-D
(Repeat Violation) Based on observation and interview with staff, the Provider did not ensure that medications, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children.

Evidence: The Provider had a triple antibiotic medication stored unlocked on the shelves in the infant crib room.
Plan of Correction: I will put it in the lockbox
View original record on Virginia Department of Social Services