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Rubina Sadiq

Inspection · 2021-09-02

Date
2021-09-02
Complaint Related
No
Licensing Inspector
Miranda Wright
(571) 596-3661
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and a virtual tour of the program.

A renewal monitoring inspection was initiated and concluded on 9/02/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 7 children present, ranging in ages from 14 months old to 3 years old, with 2 caregivers 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 2 children?s records and 3 caregivers/household 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. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations

7
Standard 22VAC40-111-110-B
Based on review of two children's records, the provider did not have a physical examination and immunizations that were signed by a licensed physician, the physician's designee, or an official of a local health department for one child.
Evidence:
1. Child #1 had a physical and immunization record, but it was not signed by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction: I will ask the parent today.
Standard 22VAC40-111-210-A
Based on review of training, the caregiver did not obtain a minimum of sixteen clock hours of training annually.
Evidence:
1. Caregiver #1 completed 2 hours of training in 2020.
2. Caregiver #2 completed 10 hours of training in 2020.
Plan of Correction: I will make sure we complete 16 hours each year.
Standard 22VAC40-111-60-B
Based on record review, children's records did not all contain required information.
Evidence:
1. Child #1's file was missing the policy number of the child's medical insurance,
Plan of Correction: I will ask the parent for it today.
Standard 22VAC40-111-760-A-1
Based on observation and interview, the provider's first aid kit did not contain the minimum requirements.
Evidence:
1. The provider stated that the adhesive tape was missing from the first aid kit.
Plan of Correction: I will get it today.
Standard 22VAC40-111-830-A
Based on review, the provider did not practice the emergency evacuation monthly with all caregivers and children in care during all shifts that children are in care.
Evidence:
1. The provider did not practice the emergency evacuation the month of April 2021.
Plan of Correction: I will make sure I do it each month.
Standard 22VAC40-111-830-B
Based on review, the provider did not practice the shelter in place procedures a minimum of twice per year.
Evidence:
1. The provider's records document that the shelter in place procedures were not practiced in 2020.
Plan of Correction: I will make sure I do two each year.
Standard 22VAC40-111-880
Based on review of the menu, the the provider did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
Evidence:
1. Day 1, Day 2, Day 3 and Day 4 only listed one fruit or vegetable for lunch. Day 5 did not list two components of fruit or vegetables for lunch.
Plan of Correction: I will review the menu and correct it. We do give the fruit and vegetables. I just didn't list it on the menu.
View original record on Virginia Department of Social Services