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Rubina Mirza

Inspection · 2023-05-23

Date
2023-05-23
Complaint Related
No
Licensing Inspector
Jessica Eason
(804) 629-7489
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
8VAC20-770 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 monitoring inspection was conducted today.
There were 7 children present (22 points) with one, then2 caregivers.
Children were observed playing with a variety of toys, washing hands and having lunch.
First Aid/CPR certifications, first aid supplies, emergency supplies, fridge/freezer temperatures. bathroom supplies and diapering supplies were all in compliance.
7 child and 5 caregiver/adult records were reviewed.
See Violation Notice for non-compliances cited today.
If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present from 10:30 AM - 11:45AM

Violations

11
Standard 8VAC20-770-60-B
Based on a review of records, Child records do not contain all required information.
Evidence:
7 child records were reviewed. Missing information includes:
*Viewing Proof of birth documentation within 7 days of 1st attendance. (1st date of attendance: 4/17/22. POB viewed 5/9/23). (Child 2)
*First date of attendance: (Child 1)
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-180-A
Based on a review of records, one caregiver record does not have documentation of a subsequent tuberculosis result within 2 years.
Evidence:
The screening result on file for Caregiver A is dated 12/21/24.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-100-A
Based on a review of records, child records do not contain documentation of a physical within 30 days of the first date of attendance.
Evidence:
Child 7's record (first date of attendance: 10/11/22) has no physical available for review.
Child 2's record (first date of attendance: 4/17/22) has a physical dated 5/12/23 (past 30 days).
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-240-A
Based on observation, the areas of the home were not maintained in a safe manner.
Evidence:
There is no operable fire extinguisher available. The extinguisher available has expired.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-570-A
Based on observation the provider did not ensure that a caregiver does not exceed 16 points to determine when an additional caregiver is needed.
Evidence:
At LI arrival (10:30 AM) the provider was alone with 22 points. A second caregiver arrived in the daycare area in approximately 10 minutes.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-A
Based on a review of records, child records have not been maintained as up-to-date.
Evidence:
There is no annual review and update documented for 2 of 7 records.
*Child 1's record is dated 3/29/22.
*Child 3's record is dated 4/1/22.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-640-2
Based on observation, a child was enclosed in a space that could not freely exit.
Evidence:
At LI arrival, one child was seated in a booster seat with the tray attached as a method of discipline. Provider stated he had attempted to bite another child and was placed in the seat to calm down for a few minutes.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
Based on a review of records, there is no documentation available that parents have been provided in writing all required policies and procedures.
Evidence:
1 of 7 records reviewed did not contain documentation of a signed acknowledgement of the insurance declaration. The form on file is not signed. (Child 2)
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
Based on a review of the emergency preparedness plan, the plan has not been reviewed annually.
Evidence:
The current plan available for review is dated 03/22/22. (expired)
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-C
Based on a review of documentation, documentation of emergency evacuation drill and shelter-in-place drills has not been maintained.
Evidence:
There is no documentation available for review for drills available. The last drill documented was September 2022.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-90-A
Based on a review of records, child records do not contain an immunization record prior to the first day of attendance.
Evidence:
Child 2's record (first date of attendance: 4/17/22) contains an immunization record dated 5/12/23.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services