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Nighat Iqbal

Inspection · 2024-09-18

Date
2024-09-18
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
8VAC20-800 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

An unannounced, on-site renewal inspection was conducted 9/18/2024 from 1:00pm- 2:30pm. The inspector reviewed compliance in the areas listed above. There were 2 children present and 2 caregivers. The inspector reviewed 3 children?s records, 3 caregivers records, and 4 household members records onsite. This inspection included document review, 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

11
Standard 22.1-289.036-B-1
All caregivers of the family day home must provide a sworn statement of affirmation disclosing whether he/she has ever been convicted of or is the subject of any pending criminal charges for any offense and whether or not he/she has been the subject of a founded complaint of child abuse or neglect, within or outside the Commonwealth.

Caregiver #1 had a sworn disclosure that was dated 9/1/2019, which expired 9/1/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-C-2
REPEAT VIOLATION
The family day home is required to obtain a central registry check for each caregiver within 30 days of employment.

Caregiver #2, hired in 2022, did not have central registry findings.
Plan of Correction: Not available online. Contact Inspector for more information.
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 examination on file for child #3, who has been care for over two years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
REPEAT VIOLATION
Assistants' and substitute providers' records shall contain the name, address, verification of age, job title, date of employment, and the name, address, and telephone number of a person to be notified in an emergency.

The record for Caregiver #1 and #2 did not have documentation of address, verification of age, job title, date of employment, and the contact information of a person to be notified in an emergency.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
The provider shall obtain for each household member a current Report of Tuberculosis Screening form every two years from the date of the first screening.

Household member #1 and #2 had a tuberculosis screening that expired in August 2023. A new screening had not been obtained.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Potentially poisonous substances such as cleaning agents, disinfectants, and deodorizers shall be stored in areas inaccessible to children.

The bathroom used for children contained Clorox wipes and laundry detergent in an unlocked cabinet, making them accessible to children.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
The family day home shall keep a written record of children in attendance each day.

The provider stated attendance has not been recorded for several months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
REPEAT VIOLATION
A child's record shall contain the name, address, and telephone number of each custodial parent's place of employment and the name, address, and telephone number of two designated persons to contact in case of an emergency.

The records for child #1, #2, and #3 was missing employment information for both parents and the address for each emergency contact. Child #1 and #2 were present during the inspection and had been in care for over two years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-70-A
REPEAT VIOLATION
Before the child's first day of attendance, parents shall be provided, in writing, whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by the Code of Virginia.

Child #1 and #2 did not have documentation of liability of insurance.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-C
The provider shall ensure that each caregiver receives training regarding the emergency evacuation and emergency relocation procedures by the end of the first week of assuming job responsibilities, on an annual basis, and at the time of each update.

Caregiver #2 did not know the address that was listed as the relocation site in the emergency preparedness plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
REPEAT VIOLATION
The emergency evacuation procedures shall be practiced monthly with all caregivers and children in care during all shifts that children are in care.

An evacuation drill was not conducted for the month of August.
Plan of Correction: Not available online. Contact Inspector for more information.