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Shima Mohammad

Inspection · 2021-08-05

Date
2021-08-05
Complaint Related
No
Licensing Inspector
Alyssa Simons
(571) 423-6392
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

Inspector Notes

This inspection was conducted b licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews ad a virtual tour of the program.
A monitoring inspection was initiated and concluded on August 5, 2021. There were no children present with one caregiver. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming medication, special care and emergencies and nutrition. A total of three children's records and 2 caregiver's records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
If you have any questions, please contact me tanya.johnson@doe.virginia.gov.

08/05/2021

Violations

3
Standard 22VAC40-111-60-A
Based on a review of children's records, the provider failed to obtain all required documents for each child enrolled in the program.

Evidence:
1. Child #2, #2 and #3's record do not contain documentation of names of persons other than the custodial parents who are authorized to pick up the child.
2. Child #2's records did not contain the name, address and phone number of two designated persons to contact in case of an emergency if the parent cannot be reached.
3. Child #1 and #2's records do not contain documentation of proof of the child's age and identity.
4.Child #3's record does not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
Plan of Correction: I will have the parents provide the correct information and will then put information into the children's records.
Standard 22VAC40-111-90-A
Based on a review of children's records, the provider did not obtain documentation that the child has been adequately immunized by the first day of attendance.

Evidence:
Child #3's record shows that the child was not show proof of immunizations by the first day of attendance. First day of attendance was 5/24/2021 and the proof of immunization is dated 5/26/2021
Plan of Correction: I will ensure that all newly enrolled children will have proof of immunizations on the first day of attendance.
Standard 22VAC40-191-60-C-2
Based on a review of caregiver records, the provider failed to obtain a central registry finding with 30 days of employment.

Evidence:
Caregiver #2's records do not contain documentation of a current central registry finding within 30 days of employment. First Day - 10/20/2014
Plan of Correction: I will have the assistant fill out another CPS registry form and submit it on
August 9th, 2021. I will notify inspector when form is emailed to me.
View original record on Virginia Department of Social Services