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Bilquis Qadiri

Inspection · 2024-08-28

Date
2024-08-28
Complaint Related
No
Licensing Inspector
Diana DeSilva
(571) 596-3656
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
8VAC20-770 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, on-site monitoring inspection was initiated on 08/28/2024 and completed on 08/28/2024, as a part of the licensure period. The on-site inspection began at 11:00am and ended at 12:15pm. The inspector reviewed compliance in the areas listed above. There were 2
children present and 1 caregivers; the point total was 5. The inspector reviewed 2 children?s records and 1 caregiver record on-site. This inspection included document review and a tour of the facility.

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

7
Standard 8VAC20-800-100-A
REPEAT VIOLATION

Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
1. Child #1, enrolled in December 2022, was missing documentation of a physical examination.
2. Child #2, enrolled in April 2023, was missing documentation of a physical examination.
Plan of Correction: Will ask the parents to provide a physical health form for the children.
Standard 8VAC20-800-180-A
Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the last screening.

Evidence:
Caregiver #1's last TB screening form was completed in May 2022.
Plan of Correction: Made an appointment today to complete the TB Screening.
Standard 8VAC20-800-240-A
Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean, safe, and operable condition.

Evidence:
1. A long, loose electrical wire was observed running from the stairs that lead to the family day home play space, down a door frame and on the floor leading into a closet door.
2. The loose wire was accessible to the children and one child was observed playing with the loose wire during the inspection.
3. This condition poses an entanglement and tripping hazard.
Plan of Correction: The electrical wire will be securely taped to the wall.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain the required information.

Evidence:
Child #1 was missing emergency contact information for parent's work place and information for two designated emergency contacts if the parents cannot be reached.
Plan of Correction: Will get parents to review and complete the required information today at pick up.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface was not nonabsorbent and washable.

Evidence:
1. The diapering pad has four torn areas, exposing the nonabsorbent sponge underneath.
2. The tears ranged in length from 4 to 10 inches.
Plan of Correction: A new diaper changing pad will be purchased by tomorrow.
Standard 8VAC20-800-780-B
Based on record review, the provider did not annually review with the parent the emergency contact information to ensure the information is correct.

Evidence:
1. Child #1's emergency contacts were last reviewed in December 2022.
2. Child #2's emergency contacts were last reviewed in April 2023.
Plan of Correction: Will get parents to review and complete the required information today.
Standard 8VAC20-800-920
Based on record review and interview, the menu for the current one-week period did not meet all required criteria.

Evidence:
1. The menu provided for review on the date of inspection is not dated for the current one-week period. The menu was dated for the year 2018.
2. The provider confirmed that the menu was not given to parents or placed in an area accessible to parents.
Plan of Correction: Menu will be created and posted by the pick up and drop off door.
View original record on Virginia Department of Social Services