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Nosheen Iftikhar

Inspection · 2024-07-31

Date
2024-07-31
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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 7/31/2024 from 9:05am - 10:45am. The inspector reviewed compliance in the areas listed above. There were 7 children present and 3 caregivers. The inspector reviewed 3 children?s records, 3 caregiver records, and 1 household members record on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, training logs, authorization and permission forms), 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, which will be the close of business on 8/12/2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 8VAC20-770-40-D-4
Based on record review and interview, a person over the age of 18 years living in the home of the licensed family day home provider did not have a criminal history record check.

Evidence:
Household member #1 did not have documentation of a criminal history record check.
Plan of Correction: The criminal history background check is scheduled for 8/7/2024.
Standard 8VAC20-800-280
Based on observation, potentially poisonous substances, materials and supplies were not stored in areas inaccessible to children.

Evidence:
Cleaning agents, disinfectants and deodorizers were stored on top of the washing machine/dryer in the kitchen area. A Swiffer mop with solution was on the floor beside the washer/dryer.
1) A child was observed walking into the kitchen area to go to the bathroom, passing the washer and dryer. Based on the child's height, the cleaning agents were within reach.
2) The door connecting the bathroom and the kitchen area was left cracked open, making the cleaning agents accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-340-C
Based on observation, the bathroom did not have paper towels.

Evidence:
The bathroom had a shared hand towel for drying hands, not single use paper towels.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
Based on record review and interview, the provider did not maintain and up-to-date record for each enrolled child.

Evidence:
Child #2 (DOE: 11/7/2022, date of physical 8/10/2022) had documentation of a peanut and egg allergy. The provider stated the child has aged out of the allergy but there was no update in the child's file to support this.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain complete emergency contact information to include name, address, and telephone number of each custodial parent's place of employment and/or the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

Evidence:
1) The parents work phone numbers were not provided for child # 2 and #3.
2) Child #3 was missing the second emergency contact (who is not a parent). The emergency contact that was listed did not have the address.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

Evidence:
Child # 3 did not have documentation of immunizations by their 7/22/2024 start date.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-C
Based on record review, the family day home did not obtain documentation of additional immunizations, every 6 months, for a child who is not exempt from the immunization requirements and under the age of two years.

Evidence:
Child # 1 (DOB: 4/14/2023, DOE: 10/23/2023) had documentation of immunizations dated 10/16/2023. Documentation of additional immunizations were not provided.
Plan of Correction: Not available online. Contact Inspector for more information.