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Nosheen Iftikhar

Inspection · 2025-01-16

Date
2025-01-16
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
22.1 Potable Water Lead Testing
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was conducted 1/16/2025 from 10:30am - 12:45pm. The inspector reviewed compliance in the areas listed above. There were 10 children and 2 caregivers present during the time of the inspection. The inspector reviewed 3 child records, 3 provider/caregiver records, and 1 household record onsite. The inspection included document review, 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 January 31, 2025 . A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.057-A
Each child day program that is licensed shall develop and implement a plan to test potable water from sources identified by the U.S. Environmental Protection Agency as high priority, including bubbler and cooler-style drinking fountains, kitchen taps, classroom combination sinks and drinking fountains, and sinks known to be or visibly used for consumption.

The Family Day Home did not have evidence of creating or submitting a testing plan to the Virginia Department of Health.
Plan of Correction: Water testing plan shall be tested and submitted to VDH authorities for records upon successful scheduling of water quality testing. Inspector shall be cc'd for final submittal.
Standard 8VAC20-800-200-C
The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Documentation of the orientation shall be signed and dated by the provider and assistant.

The record for Caregiver #1, employed for more than one year, did not contain documentation of orientation.
Plan of Correction: Caregiver 1's file shall be updated with up-to-date documentation of successful orientation completion.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of sixteen clock hours of training annually in areas relevant to the their job responsibilities.

The record for Caregiver #1 did not contain sixteen hours of annual training for 2024.
Plan of Correction: Caregiver 1 shall practice diligence and complete 16 minimum hours of annual training within the allotted time limit.
Standard 8VAC20-800-330-A
A landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. An operable landline telephone is one that does not require electricity to operate. Cordless or cell phones may be used in addition to the landline telephone.

The family day home had a cordless telephone, not a landline that operates without electricity.
Plan of Correction: A non-electric landline telephone shall be ordered and installed as early as possible in compliance with VDOE standards.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.

Attendance was not recorded Monday - Thursday, the week of the inspection.
Plan of Correction: Protocols shall be established to ensure attendance is marked daily for all children present at FDH during operating hours.
Standard 8VAC20-800-60-B
REPEAT VIOLATION:
The provider shall maintain and up-to-date record at the family day home for each enrolled child. The record shall contain the following information: name, address and telephone number of each custodial parent's place of employment; name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; names of persons other than the custodial parents who are authorized to pick up the child; first date of attendance.

The record for Child #1 did not contain the name, address and phone number of each parents place of employment; the address for emergency contact #1; a second emergency contact; or persons authorized to pick up.

The record for Child #2 did not contain the phone number of each parents place of employment.
Plan of Correction: Missing contact information for child 1 and 2 shall be obtained and added to their folders for contact. Child 1 shall have a 2nd emergency contact established and added to their file.
Standard 8VAC20-800-800-C
The provider shall ensure that each caregiver receives training regarding the emergency evacuation, emergency relocation, and shelter-in-place procedures by the end of their first week of assuming job responsibilities, on an annual basis, and at the time of each plan update.

The record for Caregiver #1, employed for more than one year, did not contain documentation of emergency procedures training.
Plan of Correction: Missing emergency plan training documentation shall be added to caregiver 1's file.
Standard 8VAC20-800-960-E
Bottles shall be refrigerated and labeled with the child's full name and the date.

5 out of 5 bottles did not contain the date.
1 out of 5 bottles did not contain a first or last name.
Plan of Correction: Caregivers shall be reminded to diligently label bottles with full name and date. Retraining will be administered on repeat violations.
View original record on Virginia Department of Social Services