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Sadia Javed

Inspection · 2025-01-16

Date
2025-01-16
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
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

8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC2 0-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 01/16/2025. The on-site inspection began at 9:30 am and ended at 1:30 pm. The inspector reviewed compliance in the areas listed above. There were (7) children present and (3) caregivers; the point total was (19). The inspector reviewed (3) children?s records, (3) caregivers records, and (5) household members records on-site on 01/16/2025.

This inspection included: document review (files, policies and procedures, emergency drill logs, medication administration logs, authorization forms); tour of the facility; interviews; observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

8
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Missing Water testing plan will be submitted to VDOE and VDH.
Standard 22.1-289.057-B
The program is required to submit results of potable water testing to VDH.

The program did not have evidence of submitting test results to VDH.
Plan of Correction: Water Testing results will be submitted to VDOE and VDH.
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There was no physical exam records available for Child #3, who had been in care for over 2 years.
Plan of Correction: All missing information and/or documentation shall be obtained within one month or by 02/17/2025.
Standard 8VAC20-800-200-A
The provider must orient assistants by the end of their first week of assuming job responsibilities.

Staff #2 and Staff #3, both have provided care for children for more than 2 years without having a documented orientation on file.
Plan of Correction: All missing information and/or documentation shall be obtained within one month or by 02/17/2025.
Standard 8VAC20-800-60-B
Children's records are required to contain the following: the address for each emergency contact listed; the name and policy number of the child's medical insurance; and written authorization for emergency medical care.

The record for Child #1 was missing 1 address for an emergency contact. Child #1 was present during the inspection and had been in care for one year. The record for Child #2 was missing 1 address for an emergency contact, the medical policy information, and a written authorization for emergency medical care. Child #2 was present during the inspection and had been in care for 11 months.
Plan of Correction: All missing information and/or documentation shall be obtained within one month or by 02/17/2025.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration.

There were no parent acknowledgements available for: Information for Parents form, Decision to Administer Medication form; and the Provisional form for the Emergency Preparedness and Response was not available for Child #1 (1 year from start date), Child #2 (11 months from start date), and Child #3 (2 years from start date).
Plan of Correction: All missing information and/or documentation shall be obtained within one month or by 02/17/2025.
Standard 8VAC20-800-80-A
Within seven business days of the child's first day of attendance, the provider shall obtain from the parent verification of the identity and age of the child and name and location of previous day care programs.

This information was not available for Child #2 who has been in care for 11 months.
Plan of Correction: All missing information and/or documentation shall be obtained within one month or by 02/17/2025.
Standard 8VAC20-800-90-A
Documentation of additional immunizations is required once every six months for children under the age of two years. '

Child #1, 15 months old, last documented immunization was over 8 months ago. Child #2, 16 months old, last documented immunization was over 10 months ago.
Plan of Correction: All missing information and/or documentation shall be obtained within one month or by 02/17/2025.