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Laiba Sheikh

Inspection · 2023-05-17

Date
2023-05-17
Complaint Related
No
Licensing Inspector
Stephanie Salvatori
(571) 389-0980
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.
8VAC20-770 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.

Inspector Notes

An unannounced monitoring inspection was conducted today between 9:40am and 11:15am. There were 6 children present with the Provider and 1 assistant for a total of 16 points within the supervision guidelines. The children were observed playing freely, singing songs, eating a morning snack (blueberries and crackers with milk or water) and playing outside. A complete inspection of the physical plant, children and staff records, menu, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice.

Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@ doe.virginia.gov.

Violations

9
Standard 8VAC20-800-180-A
Based on record review, each caregiver and/or adult household member has not obtained a repeat tuberculosis (TB) screening every two years.
Evidence: Household member #1's TB screening expired on 12/5/2022 and has not been renewed.
Plan of Correction: They have made an appointment to get it done.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
1. Child #2's record does not contain the families medical insurance policy number.
2. Child #6's record does not contain the child's first date of attendance and the families medical insurance policy number.
3. Child #6's record does not contain the families medical insurance policy or policy number.
Plan of Correction: I will text the parents and ask them to fill the information in.
Standard 8VAC20-800-750-A
Based on record review and interview, the provider did not obtained authorizations to apply topical skin products prior to using on the children.
Evidence: Child #4 and Child #5 were observed having sunscreen applied. The provider did not have authorizations to apply the sunscreen.
Plan of Correction: I gave the form to the parents but they didn't return it. I will ask them to return the form.
Standard 8VAC20-800-750-D
Based on observation, product were used be used beyond the expiration date.
Evidence:
1. Child #4 was observed having sunscreen applied before going outside to play. The child's sunscreen expired 9/2021.
2. Child #5 was observed having sunscreen applied before going outside to play. The child's sunscreen expired 8/2022.
Plan of Correction: I'll have to start checking the dates.
Standard 8VAC20-800-800-B
Based on record review, the provider has not reviewed the emergency plan at least annually.
Evidence: The most recent review of the emergency preparedness plan was dated 8/5/2020.
Plan of Correction: I will add it to a list of things to do.
Standard 8VAC20-800-830-C
Based on record review and interview, documentation of emergency evacuation and shelter-in-place drills was not maintained.
Evidence: The most recent documented emergency drill was dated 11/18/2022. The provider stated that they must have forgotten to write them down.
Plan of Correction: I'll write it down as I perform them.
Standard 8VAC20-800-90-C
Based on record review, the families has not obtain documentation of additional immunizations for each child under the age of two years.
Evidence: Child #1 (11 months) most recent immunizations are dated from when the child was 2 months old.
Plan of Correction: I'll talk to them today.
Standard 8VAC20-800-920
Based on record review, menu requirements were not met.
Evidence: The weekly menu was not dated.
Plan of Correction: I will start dating it as I make it.
Standard 8VAC20-800-960-E
Based on observation, bottles were not labeled with the child's full name and the date.
Evidence: Two bottles were observed with Child #1's name. The bottles were not dated.
Plan of Correction: I will let the parent know to start doing it.
View original record on Virginia Department of Social Services