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Frishta Rahim

Inspection · 2025-01-22

Date
2025-01-22
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
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code
54.1 Provider must be MAT certified to administer prescription medication.

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 program was in compliance with the standards reviewed.

Inspector Notes

An unannounced, on-site renewal inspection was conducted on 1/22/25. The on-site inspection began at 11:21am and ended at 1:15pm. The inspector reviewed compliance in the areas listed above. There were 11 children present and 3 caregivers; the point total was 35. The inspector reviewed 7 children?s records and 4 caregiver/household member's records while on-site, and additional documents not reviewed while on-site for 1 child's record and 3 caregiver records electronically on 1/23/25. The inspection included document review, tour of the daycare areas of the home and interviews. 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 1/31/25. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 8VAC20-800-120-B
Repeat violation.
Assistant caregivers records shall include documentation of 2 or more reference checks completed prior to employment.

The documentation for 1 of 2 written reference checks did not include the results of the reference check and the signature of who completed the check for Caregiver #3.
Plan of Correction: Caregiver has 2 references
Standard 8VAC20-800-170-A
The provider shall obtain from each caregiver and adult household member a current TB screening/test with it documenting the absence of TB in a communicable form.

There was no documentation of a TB screening/test for Household Member #2.
Plan of Correction: Please refer to email regarding tb test requirements for household members
Standard 8VAC20-800-210-A
In addition to satisfactory completion of First Aid/CPR, caregivers shall obtain a minimum of 16 hours of training annually in areas relevant to their job responsibilities.

There was documentation of 13 hours of annual training for Caregiver #2.
Plan of Correction: I have submitted 16 hours of trainling [sic] for Caregiver #2
Standard 8VAC20-800-60-B
A child's record shall contain the following information: name, address and phone number of 2 designated persons to contact in case of an emergency if the parent cannot be reached; name and policy number of the child's medical insurance; and written authorization for emergency medical care.

The record for Child #5 did not include documentation of the required information listed above.
Plan of Correction: I have corrected the child's information
Standard 8VAC20-800-70-A
Before the child's first day of attendance, parents shall be provided in writing the following information: check-in and check-out procedures; requirement for paid caregivers to report suspected child abuse and neglect according to 63.2-1509 of the Code of VA; custodial parent's right to be admitted to the family day home as required by 22.1-289.054 of the Code of VA; amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the children and the name of the those individuals; address of the website of the department (VDOE) and a statement that a copy of this chapter and additional information may be obtained there.

1. These policies/procedures were not documented on enrollment paperwork given to parents or on the daycare website.
2. Child #5-In addition to the policies/procedures listed above this child's record did not include the medication policy, emergency plan and liability insurance statement.
Plan of Correction: information will be provided to parents in writing upon first day of enrollment [sic]

Child#5 records have been updated

Child#5 records have been updated (duplicate statement)
Standard 8VAC20-800-780-B
Annually, the provider shall review with the parent the emergency contact information to ensure information is correct and obtain the parent's signed acknowledgment of the review.

There was no documentation that Child #12's parents had reviewed the emergency contact information since enrollment in October 2023.
Plan of Correction: corrected, child is leaving end of the month [sic]
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 ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

There was no documentation of immunizations on-file for Child #3 at the time of inspection. Post-inspection immunizations, signed by the physician on 1/22/25, were submitted.
Plan of Correction: submitted
Standard 8VAC20-800-960-E
Bottles shall be refrigerated and labeled with the child's full name and the date, if more than one infant is in care.

3 infant bottles were observed in the refrigerator without being labeled with the child's name and date, as were 2 additional bottles being fed to infants.
Plan of Correction: They are labeled now
View original record on Virginia Department of Social Services