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Mrs. Abida Nadeem

Inspection · 2022-11-28

Date
2022-11-28
Complaint Related
No
Licensing Inspector
Angela Dudek
(804) 629-8167
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 renewal inspection was conducted on 11/28/2022 from 8:20am to 10:45am. There were 10 children ages 4 months old to age 3 years old (29 points) with the Provider and 1 assistant. The programming area, attendance, outdoor playground area, menus, Provider, Assistant and Household member records, 10 children?s records, emergency drills, and emergency supplies were reviewed. Children were observed participating in using the swing, building, dramatic play, table toys and snack. There was an adequate number of staff present with current certification in CPR and First Aid training. 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 12/9/22. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations

9
Standard 8VAC20-800-170-A
Based on review of 2 Caregiver records, the Provider did not obtain a report documenting the absence of tuberculosis for each caregiver.

Evidence: The record for Caregiver #2 did not contain a report documenting the absence of Tuberculosis.
Plan of Correction: I asked my assistant to bring the X-ray report from her doctor separately.
Standard 8VAC20-800-240-A
Based on observation, the Provider did not ensure that areas and furnishings of the family day home, inside and outside were maintained in a clean, safe and operable condition.

Evidence:
1)The seat of the high chair was torn in a number of places and the non-absorbent stuffing inside of the high chair seat was not waterproof or able to be sanitized.
2)There was a broken component on the play equipment outdoors that was hanging from the structure and had a sharp fastener exposed that could snag a child?s skin.
Plan of Correction: I changed the seat cover.
Standard 8VAC20-800-460-D
Based on documentation review, the provider did not ensure they maintain documentation of current rabies vaccination.

Evidence: There was no documentation on file that the cat belonging to household member #4 was current with rabies vaccination. The rabies vaccination on file expired on 8/16/21.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-530-D
Based on observation, the provider did not ensure that linens were clean and washed at least weekly or when soiled.

Evidence: The sheets in the crib were dirty, spotted and discolored where fluids had dried on the sheets.
Plan of Correction: We will wash the sheets every week.
Standard 8VAC20-800-560-A
Based on observation and provider interview, the provider did not ensure that a sleeping infant was monitored either within sight and sound of a caregiver, by observation at least once every 15 minutes, or by using a baby monitor.

Evidence: During the inspection, Child #8 (date of birth 7/28/22), was placed in a room to sleep alone with the door closed at approximately 9:00am and was not checked on until approximately 9:40am. There was no baby monitor in the room.
Plan of Correction: We have a monitor in our in our nap room, but yes its not the video one. We will keep an eye on the kids while they're sleeping.
Standard 8VAC20-800-570-A
Based on observation the provider did not ensure that a caregiver does not exceed 16 points by using the required point system to determine if an additional caregiver is needed.

Evidence: Upon arrival for the inspection at approximately 8:20am, the Provider was alone with 9 children (25 points) and Caregiver #2 did not arrive until approximately 9:06am.
Plan of Correction: My husband will be my backup if this situations happened again. We will make sure this will not happen again.
Standard 8VAC20-800-680-B
Based on observation, the Provider did not ensure that children?s hands are washed with liquid soap and warm running water before eating.

Evidence: During the inspection, Child #2, Child #3, Child #4, Child #5, Child #6, Child #9 and Child #10 sat down to eat a snack and none of the children washed their hands prior to eating.
Plan of Correction: We will make sure to washed the kids hands before serving food.
Standard 8VAC20-800-960-C
Based on observation, the provider did not ensure that a high chair, infant carrier or feeding table with safety waist and crotch straps fastened were used for children under 12 months of age who are not held while being fed.

Evidence: The provider fed Child #7 (DOB 4/13/22) a bottle while they were laying in a bouncy seat. Child #7 was not strapped in during the feeding.
Plan of Correction: We always used belts for babies in the high chair. I will make sure for next time.
Standard 8VAC20-800-960-E
Based on observation, the provider did not ensure that bottles be refrigerated and labeled with the child?s full name and the date, if more than one infant is in care.

Evidence: The bottles for Child #7 were not dated as required.
Plan of Correction: I asked the parents to send the bottles with labels.
View original record on Virginia Department of Social Services