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Khalida Kazimi

Inspection · 2021-08-17

Date
2021-08-17
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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

22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program.

A renewal inspection was initiated on 08/17/2021 and concluded on 08/17/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 8 children present, ranging in ages from 3 months to 4 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, personnel, physical environment and equipment, care of children, nutrition, emergencies, and background checks. A total of 2 child records, 2 caregiver records, and all household member 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.

Violations

5
Standard 22VAC40-111-180-A
Based on record review, the provider did not obtain a current Report of Tuberculosis Screening form every two years for one caregiver and one adult household member.

Evidence:
1. The most recent documentation of a tuberculosis screening in the record for Caregiver #1 was dated 7/9/2019
2. The most recent documentation of a tuberculosis screening in the record for Household Member #1 was dated 1/30/2018.
Plan of Correction: We will make an appointment to get our tuberculosis screening.
Standard 22VAC40-111-460-D
Based on record review, the provider did not maintain documentation of a current rabies vaccination.

Evidence:
1. Documentation maintained by the provider of the rabies vaccination for the provider's pet was dated 1/30/2018 and expired on 1/30/2021.
Plan of Correction: I will contact the veterinarian's office and ask for documentation of the vaccinations.
Standard 22VAC40-111-70-B
Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of all required information.

Evidence:
1. The documentation in the record for Child #1 did not contain written acknowledgement from the parents of the provider's policies for the administration of medications.
Plan of Correction: I will have the parent sign the form today.
Standard 22VAC40-111-760-A-1
Based on observation, the first aid kit did not contain all required supplies.

Evidence:
1. The first aid kit did not contain triangular bandages
Plan of Correction: I will buy them today.
Standard 22VAC40-111-80-C
Based on record review, 1 of 2 children's records did not contain all required information of verification of proof of identification for the child.

Evidence:
The record for Child #1 did not contain documentation of date and person verifying original proof of identification.
Plan of Correction: We will document the information.
View original record on Virginia Department of Social Services