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Uzma Salam

Inspection · 2024-08-29

Date
2024-08-29
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
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 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE
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 monitoring inspection was conducted 8/29/2024 from 10:45am - 12:25pm. The inspector reviewed compliance in the areas listed above. There were 10 children present and 3 caregivers. The inspector reviewed 5 children?s records and 2 caregivers records onsite. This inspection included document review, interviews, observations, and a tour of the facility.

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. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-B-2
Based on record review, the provider did not obtain national fingerprint check results for each caregiver prior to employment.

Evidence:
Caregiver #1, date of employment 7/8/2024, had national fingerprint results dated 7/24/2024.
Plan of Correction: Already corrected
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the child's first day of attendance.

Evidence:
Child #1, date of enrollment 9/5/2023, had a physical examination dated 11/22/2023.
Plan of Correction: Already corrected
Standard 8VAC20-800-240-A
Based on observation and interview, areas and furnishings of the family day home were not maintained in a clean, safe, and operable condition.

Evidence:
1) The divider used for infants and toddlers had 4 missing rails throughout the length of the divider, causing approximate 4-5 inch gaps which could lead to a head entrapment.
2) Where rails were missing, the bottom section of the divider was sharp which could entangle or snag skin.
3) Sections of the divider were broken and tied together with plastic shopping bags, making the divider unstable and causing possible suffocation or choking hazards.
4) Chipped and peeling paint and dry wall was found in the play areas, kitchen, hallway, and nap room.
Plan of Correction: The divider has been removed. The Drywall will be repaired 9/14/2024.
Standard 8VAC20-800-690-E
Based on observation and interview, soiled disposable diapers and wipes were not disposed of in a foot operated storage system.

Evidence:
The pedal on the foot operated trashcan was not working to open the lid.
Plan of Correction: A new diaper pail was ordered.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that a child had been adequately immunized before attending the family day home.

Evidence:
Child #1, date of enrollment 9/5/2023, had immunizations dated 10/23/2023.
Plan of Correction: Already corrected