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Khalida Kazimi

Inspection · 2023-08-08

Date
2023-08-08
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

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
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Inspector Notes

An unannounced renewal inspection was conducted on 8/8/2023 from 11:30am-1pm. There were 4 children present directly supervised by the provider and 1 assistant caregiver. The home, 2 caregiver records, 2 children?s records, 2 household member?s records, evacuation drills, and emergency supplies were inspected. Children were observed playing freely and eating lunch. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations

6
Standard 22.1-289.035-A
Based on record review, results of the search of the Central Registry were not obtained every five years for 1 caregiver.

Evidence:
1. The most recent Central Registry search results in the record for Caregiver #1 were dated 01/22/2018.
Plan of Correction: The provider will submit documentation that the search was requested within 10 business days.
Standard 8VAC20-800-530-F
Based on observation, soft bedding was used under an infant.

Evidence:
1.Child #3 was observed sleeping in a crib while using a pillow.
Plan of Correction: We will remove the pillow.
Standard 8VAC20-800-60-B
Repeat Violation
Based on record review, 2 of 2 children's records reviewed did not contain all required information.

Evidence:
1. The records for Child #1 and 2 did not contain the address and phone number of the father's place of employment.
2. The records for Child #1 and 2 did not contain the policy number of the child's medical insurance
3. The records for Child #1 and 2 did not contain 1 of 2 required designated persons to
contact in case of an emergency if the parent cannot be reached
4. The record for Child #2 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediatel.
Plan of Correction: We will ask the parents for the information.
Standard 8VAC20-800-70-B
Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of all requried information.

Evidence:
1. The records for Child#1 and 2 did not contain written acknowledgement of the receipt of whether or not there is liability insurance
2. The record for Child #2 did not contain written acknowledgement of the receipt of the provisions of the family day home's emergency preparedness and response
plan;
Plan of Correction: We will ask the parents for the forms or have them sign new ones.
Standard 8VAC20-800-80-C
Based on record review, the provider did not document the method of verification of the child's age and identity;

Evidence:
1. The records for Child #1 and 2 did not contain documentation of the date of verification of the child's age and identity and the signature of person viewing the documentation.
Plan of Correction: The date and signature will be added.
Standard 8VAC20-800-800-B
Based on record review, the provider did not review the emergency plan annually.

Evidence:
1. The most recent documented review of the emergency preparedness plan was dated 07/12/2022.
Plan of Correction: We will review the plan today.
View original record on Virginia Department of Social Services