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Shima Mohammad

Inspection · 2023-01-18

Date
2023-01-18
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

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

Inspector Notes

An unannounced renewal inspection was conducted on January 18, 2023. There were 6 children present (18 points) with 3 caregiver's supervising. The home, children's records, caregiver records, household member records, evacuation logs, attendance logs, first aid kits, cribs and menu's were reviewed. The children were observed playing with floor toys and preparing to go outside. Areas on non-compliance were cited on the Violation Notice. If you have any questions, please contact your Licensing Inspector at tanya.johnson@doe.virginia,gov or call 571.423.6392.

Violations

5
Standard 8VAC20-770-60-C-2
Based on a review of caregiver records, the provider failed to ensure that the licensed family day home shall have a central registry finding within 30 days of employment.

Evidence:
Caregiver #3's record did not have documentation of a central registry finding within 30 days of employment. Employment date: 02/21/2022.
Plan of Correction: I will re-send CPS paperwork today and will contact inspector as soon as it is returned to me.
Standard 8VAC20-800-180-A
Based on a review of caregiver and household member records, the provider failed to obtain fore each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 8VAC20-800-170, every two years from the date of the first screening.

Evidence:
Caregiver #1, #2 and Household Member #1's records do not contain documentation of a current Tuberculosis Screening. All three were tested 12/15/2020.
Plan of Correction: We will all have TB test completed within five days.
Standard 8VAC20-800-200-A
Based on a review of caregiver records, the provider failed to ensure that substitute providers and assistant providers shall have orientation by the end of their first week of assuming job responsibilities.

Evidence:
Caregiver #3's record did not have documentation of orientation.
Plan of Correction: I will complete and document caregiver orientation.
Standard 8VAC20-800-60-B
Based on a review of children's records, the provider failed to obtain all required documentation for each child enrolled.

Evidence:
Child #3, #4 and #5's records don't contain documentation of the name, address, and telephone number of each custodial parent's place of employment.
Child #5's record does not contain documentation of the names of persons other than the custodial parents who are authorized to pick up the child.
Plan of Correction: I will get the information from the parents and put in each child's file.
Standard 8VAC20-800-780-B
Based on a review of children's records, the provider failed to annually review with the parent the emergency contact information required in 8VAC20-800-60-B to ensure the information is correct and to obtain the parent's signed acknowledgement of the review.

Evidence:
Child #1's last review was 01/10/2022.
Child #4's last review was 10/01/2021.
Plan of Correction: I will catch up on completing annual reviews and keep updated in the future.
View original record on Virginia Department of Social Services