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Fatemeh Ranjbarkohan

Inspection · 2024-08-06

Date
2024-08-06
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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.
63.2 Child abuse and neglect

Inspector Notes

An unannounced, on-site renewal inspection was conducted on 08/06/204. The inspector reviewed compliance in the areas listed above. There were 7 children present and 3 caregivers; the point total was 23.
The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included * document review, tour of the facility, and interviews
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 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 5 business days from today, which will be the close of business on 08/19/2024. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 8VAC20-800-100-A
Based on record review, the Provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.
Evidence:
1) The records for Child #5 (start date05/14/2024) did not contain the results of a physical examination.
Plan of Correction: Her mother emailed me all the papers but I couldn't open and printed. *The provider shall print the documents and include in the child's record.
Standard 8VAC20-800-170-A
*REPEAT VIOLATION*
Based on record review, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis (Tb) Screening.
Evidence:
1) The record for Staff #4 (start date 07/126/2024) did not contain the results of a Tuberculosis Screening.
Plan of Correction: She will do it this week. They were doing Tb only for school.
Standard 8VAC20-800-200-A
*REPEAT VIOLATION*
Based on record review, the Provider did not orient caregivers by the end of their first week of assuming job responsibilities.
Evidence:
1) The records for Staff #2, Staff #3, Staff #4 and Staff #5 did not contain documentation that the caregivers completed orientation training as required.
Plan of Correction: I did on the first day they started, but didn't know there is a form.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence: The records for children did not contain the following:
*Child #2 - parent's work phone number
*Child #3 - physician's name and phone number, phone number for a second emergency contact, signed acknowledgement of the provider's medication policy and the provisions of the emergency plan.
*Child #4 - one custodial parent's work phone number, medical insurance policy number.
Plan of Correction: I got the information.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface did not meet all requirements.
Evidence:
1) The diapering surface had small rips in it, making it not nonabsorbent and washable.
Plan of Correction: I changed it with a new one.
Standard 8VAC20-800-700-C
Based on medication review, the Provider did not ensure that expired medication be picked up within 14 days or taken to a pharmacy for proper disposal.
Evidence:
1) Medication on-site for Child #6 had an expiration date of 01/22/2024.
Plan of Correction: The kid don't need the medication anymore.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized before the child may attend the family day home.
Evidence:
1) The record for Child #5 (start date 05/14/2024) did not contain an immunization report.
Plan of Correction: She had them a week before she started on my email. *The provider shall print the documents and include in the child's record.
Standard 8VAC20-800-90-C
Based on record review, the provider did not obtain additional immunizations once every six months for children under the age of two years.
Evidence:
1) The most recent immunization report in the record for Child #2 (dob 07/13/2023) was dated 11/17/2023.
Plan of Correction: She don't have any vaccines because she was sick. *The provider shall request updated immunizations and include in the child's record.
View original record on Virginia Department of Social Services