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Shahnaj Sultana

Inspection · 2024-09-20

Date
2024-09-20
Complaint Related
No
Licensing Inspector
Kimberly Weaver
(571) 596-3662
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.
8VAC20-770 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
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Inspector Notes

An unannounced, on-site monitoring inspection was conducted 9/20/2024 from 10:25am - 11:10am. The inspector reviewed compliance in the areas listed above. There were no children present and 1 caregivers. The inspector reviewed 5 children?s records, 1 caregivers record, and 3 household members records on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, training logs, authorization and permission forms), interviews, observations, 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.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.036-B-2
The family day home is required to obtain a criminal history background check for each household member age 18 years and older.

Household member #1 did not have a criminal history background check.
Plan of Correction: An appointment was scheduled for 9/23/2024. Household member #1 has received the fingerprint results.
Standard 8VAC20-800-100-A
The provider shall 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.

There was no physical exam record available for child #1, who has been in care for over 6 months.
Plan of Correction: The mother gave me the physical examination for child #1.
Standard 8VAC20-800-280
Potentially poisonous substances and supplies such as, but not limited to, cleaning agents, disinfectants, and deodorizers shall be stored in areas inaccessible to children.

The bathroom cabinet contained cleaning products and was not locked to prevent access by children.
Plan of Correction: I kept in the locker.
Standard 8VAC20-800-60-A
The provider shall maintain an up-to-date record for each enrolled child.

There was no record on file for Child #3 and Child #4, who have been in care for 2 weeks.
Plan of Correction: The parent gave me all the completed papers for child #3 and #4.
Standard 8VAC20-800-60-B
A child's record shall contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

Child #2 had two emergency contacts listed without an address.
Plan of Correction: The parent completed the emergency contact information, address and number.
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing the policies for the administration of medication.

The providers medication administration certification (MAT) had been expired for 12 months and the Medication Administration - Decision to Administer form had not been updated for 5 out of 5 children.
Plan of Correction: Parents gave the insurance number an completed emergency contact information.
Standard 8VAC20-800-80-A
Within 7 business days of the child's first day of attendance at the family day home, the provider shall obtain verification of the identity and age of the child and the name and location of previous day care programs and schools the child has attended.

There was no verification of identity and age or documentation of previous schools attended on file for child #3 and #4, who had been in attendance for 14 days.
Plan of Correction: The mother gave me the passport for child #3 and #4.
Standard 8VAC20-800-90-A
Before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia.

There were no immunization records on file for child #2, who has been in care for over 30 days.
Plan of Correction: All the children has an immunization record in their individual file.