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Nosheen Iftikhar

Inspection · 2024-01-22

Date
2024-01-22
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 Medication Administration
?8VAC20-800 Emergencies
?8VAC20-800 Nutrition
?8VAC20-800 Transportation
?8VAC20-800 Nighttime Care
?8VAC20-820 THE LICENSE.
?8VAC20-820 THE LICENSING PROCESS.
?8VAC20-820 HEARINGS PROCEDURES.
?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
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced renewal inspection was conducted on January 22, 2024 , from 10:30am-12:05pm. At the time of entrance, 9 children(24pts) were in care with three caregivers present. The inspector reviewed five children?s records and four staff/household members records. Children were observed during snack time, diapering, reading books, handwashing, lunch and the designated rest period. Areas of non-compliance are identified on the violation notice. Repeat violations were found and are identified within this report.

If you have any questions about this inspection, please contact the Licensing Inspector, Karen Dickens at karen.dickens@doe.virginia.gov

Violations

6
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis(TB) form.
Evidence:
1. Caregiver #1's record did not contain documentation of a subsequent TB screening form. Documentation of Caregiver #1's TB screening was dated 01/08/2022.
2. Household Member #1's record did not contain documentation of a subsequent TB screening form. Documentation of Household Member #1's TB screening form was dated 12/02/2021.
Plan of Correction: The caregiver and household member will make an appointment to obtain a subsequent TB screening.
Standard 8VAC20-800-230-A
Based on record review and interview, the provider did not maintain documentation of each caregiver's annual training.
Evidence:
1. Caregiver #2's record (Date of hire-09/17/2018) did not contain documentation of 16 hours of annual training.
2. Caregiver #2 stated that they completed training, but did not have documentation of the trainings.
Plan of Correction: The provider will use the department's model form to document caregiver annual trainings.
Standard 8VAC20-800-240-A
Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.
Evidence:
1. The smoke detector located in the eating area, was beeping indicating that the battery needed to be changed.
2. The diapering pad had three one inch cuts on diapering pad.
Plan of Correction: The battery will be replaced in the smoke detector and the provider will purchase a new diapering pad.
Standard 8VAC20-800-280
Repeat Violation

Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children.
Evidence:
1. Cleaning agents, disinfectants and deodorizers were stored on in a low unlocked cabinet located in the bathroom.
Plan of Correction: A safety lock will be placed on the cabinet in the bathroom.
Standard 8VAC20-800-60-B
Repeat Violation

Based on record review, children's records did not contain required information.
Evidence:
1. Child #1's record (Start date-10/23/2023) did not contain documentation of the medical insurance policy number.
2. Child #4's record (Start date-11/07/2022) did not contain documentation of the annual review of emergency contact information.
3. Child #5's record (Start date-09/15/2022) did not contain documentation of the annual review of the emergency contact information.
Plan of Correction: The provider will get the medical insurance policy number from the parent and have the parents review the emergency contact information and document the record.
Standard 8VAC20-800-920
Based on observation, the menu for the current one week period was not dated.
Evidence:
1. The menu for the current one week period was not dated. The menu was dated for the month of August.
Plan of Correction: The provider labeled the menu with dates at the time of the inspection.
View original record on Virginia Department of Social Services