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Sheuli Akhtar

Inspection · 2024-07-15

Date
2024-07-15
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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

A renewal inspection was initiated on July 15, 2024 from approximately 11am to 12:30pm. There were a total of 6 children (13 points) observed with 2 caregivers present. The children were engaged in the following: toy play, games, and tv time. The inspector reviewed compliance in the areas of administration, personnel and household members, physical environment, care of children, handwashing, diapering, medication, emergencies and nutrition. A total of 3 child records and 7 caregiver/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. Please contact me if you have any questions at Sarah.Zirzow@doe.virginia.gov or 703-479-4675.

Violations

6
Standard 22.1-289.011-F
Based on observation, the provider did not ensure the required documents were posted.

Evidence:
The inspection notice dated 7/23/2021 was not the most inspection.
Plan of Correction: The most recent inspection notice will be posted.
Standard 8VAC20-800-100-A
Based on record review, the provider did not obtain documentation of a physical examination prior to a child?s attendance or within 30 days after the first day of attendance.

Evidence:
Child #1, date of enrollment 4/3/23, did not have a physical examination on file.
Plan of Correction: The physical examination will be obtained for the child?s file.
Standard 8VAC20-800-200-C
Based on record review, the provider did not document orientation for the assistant.

Evidence:
There is no documentation of orientation for caregiver #2.
Plan of Correction: The orientation documentation will be completed.
Standard 8VAC20-800-240-A
Based on observation, the provider did not ensure areas of the family day home were maintained in a safe and operable condition.

Evidence:
A closet door was broken and leaning in the closet entry way in the children?s sleep area.
Plan of Correction: The closet door will either be removed from the area or fixed to hang properly.
Standard 8VAC20-800-590-B
Based on observation, the provider did not ensure to promptly move an infant to their designated sleeping space.

Evidence:
Child #3 was observed asleep in a car seat at approximately 11:25am. The provider confirmed the child was dropped off in the car seat asleep at approximately 10:30am.
Plan of Correction: Children will be moved to their designated sleeping space if they fall asleep elsewhere.
Standard 8VAC20-800-680-B
Based on observation, the provider did not ensure proper handwashing for children in care.

Evidence:
The provider did not wash child #3?s hands after diapering.
Plan of Correction: We will ensure proper handwashing moving forward.
View original record on Virginia Department of Social Services