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Ms. Rubina JanJua

Inspection · 2019-06-08

Date
2019-06-08
Complaint Related
No
Licensing Inspector
Anansa Archer-Hicks
(703) 537-6757
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 monitoring inspection was conducted on 11/02/2022 from 10:15am to 11:30am. There were 2 children ages 2 years old to age 4 years old (4 points) with the Provider. The programming area, menus, Provider and Household member records, 2 children?s records, attendance, emergency drills, and emergency supplies were reviewed. There were no children?s medications onsite. Children were observed napping and playing with blocks. The Provider had current certification in CPR and First Aid. Areas of non-compliance are identified in the Violation Notice.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 11/14/22. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations

9
Standard 8VAC20-800-100-A
Based on review of 2 children?s records, the provider did not ensure they had documentation of a physical examination for children in care within 30 days after the first day of attendance.

Evidence: The file for Child #2 (start date 11/1/2018) did not contain documentation of a physical examination.
Plan of Correction: Re-request that the parent provide the proper documentation.
Standard 8VAC20-800-180-A
Based on review of 3 household records, the provider did not obtain for each Household member a current report of Tuberculosis screening every 2 years from the date of the first screening.

Evidence: The record for Household member #3 contained a Tuberculosis screening that was last completed on 6/8/2019.
Plan of Correction: Complete a new TB screening.
Standard 8VAC20-800-280
Based on observation, the provider did not ensure that potentially poisonous substances were stored in an area inaccessible to children.

Evidence: A bottle of bathroom cleaner and a jug of detergent were stored on the floor of the laundry room where the door was open and it was accessible to the children.
Plan of Correction: Will move those items to a closet that is not accessible to children.
Standard 8VAC20-800-50-A
Based on review of the written attendance record and interview with the provider, the provider did not ensure they maintained a written record of children in attendance each day.

Evidence:
1)During the inspection in was determined there were 2 children present, but the written record reflected there were no children present.
2)The provider stated they had not completed an attendance record since 06/14/2022.
Plan of Correction: Update attendance records and complete records daily.
Standard 8VAC20-800-730-D
Based on observation and provider interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

Evidence: 2 baskets of medication containing 12 medications were stored on the top of the refrigerator in the kitchen and were not kept in a locked place.
Plan of Correction: Will keep medication in a locked pantry.
Standard 8VAC20-800-830-A
Based on documentation and provider interview, the provider did not practice monthly emergency evacuation drills with the children in care.

Evidence: The provider provided documentation and stated that there were no emergency evacuation drills completed in July 2022, August 2022, September 2022 or October 2022.
Plan of Correction: Conduct evacuation drills.
Standard 8VAC20-800-830-B
Based on documentation and provider interview, the provider did not practice shelter-in-place procedures a minimum of twice per year.

Evidence: The provider provided documentation and stated that there were no shelter-in-place procedures practiced since 06/10/2021.
Plan of Correction: Conduct shelter-in-place practice twice a year.
Standard 8VAC20-800-90-C
Based on review of 2 child records, the provider did not ensure they obtained documentation of additional immunizations for a child who is not exempt from the immunization requirements once every 6 months for children under the age of two years.

Evidence: The record for Child #1 (DOB 5/3/2020) did not contain immunizations once every 6 months. The last documentation contained in the record was dated 12/3/2021.
Plan of Correction: Re-request that the parent provide the proper documentation.
Standard 8VAC20-800-920
Based on documentation and provider interview, the provider did not have a documentation of a menu for the current one-week period or a menu kept on file for one week.

Evidence: During the inspection, the provider stated that they did not have a menu ready for the week and could not provide a menu for the previous week.
Plan of Correction: Complete the menu for the upcoming weeks.
View original record on Virginia Department of Social Services