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Amania Naseer

Inspection · 2024-08-21

Date
2024-08-21
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.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 08/21/2024 and completed on 08/21/2024, as a part of the current licensure period. The on-site inspection began at 11:33am and ended at 1:04pm. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 16. The inspector reviewed 3 children?s records and 2 staff records on-site on 08/21/2024. 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.

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, which will be the close of business on 08/29/2024. A POC submitted after this date will not appear on the public website

Violations

12
Standard 22.1-289.036-A
REPEAT VIOLATION

Based on record review, the provider did not ensure that all household members and caregivers undergo background searches every five years since the date of the first search.

Evidence:

1. Caregiver#1: The fingerprint criminal record check was last conducted in December 2018 and the sworn statement check was last documented in November 2018.

2. Household Member #1: The Central Registry Search was last conducted in May 2019 and the sworn statement check was last documented in April 2019.

3. Household Member #2: The Central Registry Search was last conducted in May 2019 and the sworn statement check was last documented in May 2019.
Plan of Correction: Paperwork is in process.
Standard 8VAC20-800-120-B
Based on record review, the assistant's records were incomplete.

Evidence:
Caregiver #2 was missing documentation that two or more references as to character, reputation and competency were checked before employment in October 2020.
Plan of Correction: Assistant records have been completed. Character references have been asked from assistant in writing.
Standard 8VAC20-800-150-A
Based on record review, the provider did not obtain verification of age that assistants are 16 years of age or older.

Evidence:
Caregiver #2 was missing age verification documentation.
Plan of Correction: Age verification has been obtained.
Standard 8VAC20-800-180-A
REPEAT VIOLATION:

Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis (TB) Screening form every two years from the date of the first screening.

Evidence:
Household member #1 and Household member #2's TB screening forms expired in November 2023.
Plan of Correction: TB screening has been asked for from household members.
Standard 8VAC20-800-200-A
Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilities.

Evidence:
Caregiver #2 was missing documentation of receiving orientation by the end of their first week of employment in October 2020.
Plan of Correction: Caregiver orientation has been completed.
Standard 8VAC20-800-210-A
Based on record review, all caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Evidence:
Caregiver #2 has no documentation of receiving the required annual training since employment in October of 2020.
Plan of Correction: Caregivers are working on 16 hours of training.
Standard 8VAC20-800-520-A
Based on observation, cribs were not provided for children from birth through 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed.

Evidence:
1. Provider had two children enrolled who were 4 months and 3 months old.
2. Provider only had one crib at the family day home.
3. Provider confirmed that 1 of 2 infants sleep on a mat for naps.
Plan of Correction: New crib and mat have been ordered.
Standard 8VAC20-800-70-A
Based on record review, parents were not provided in writing the required information prior to the child's first day of attendance.

Evidence:
1. Child #2 and Child # 3 both started attending the program in early August 2024.
2. Child #2 and #3 were missing documentation that parents were provided all the required information of this section including liability insurance declaration, policies for administration of medication, and provisions of the emergency plan.
Plan of Correction: All paperwork has been updated.
Standard 8VAC20-800-80-A
Based on record review, the provider did not obtain proof of age and identity for the child within seven business days of the child's first day of attendance.

Evidence:
1. Child #2 and Child #3 started attending the program in early August 2024.
2. Child #2 and #3 were missing verification of the identity and age.
Plan of Correction: Proof of identity has been obtained.
Standard 8VAC20-800-830-A
REPEAT VIOLATION:

Based on record review and interview, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence:
The last documented drill was conducted in April 2024.
Plan of Correction: Emergency preparedness drill has been done and will continue to be done in a timely manner.
Standard 8VAC20-800-90-A
Based on record review, the provider did not obtain documentation that the child has been
adequately immunized before a child may attend the family day home.

Evidence:
Child #3 enrolled in early August 2024 has no documentation of immunization records.
Plan of Correction: Immunizations has been asked for from parent.
Standard 8VAC20-800-960-E
Based on observation, infant milk bottles were not labeled with the child's full name and the date.

Evidence:
Child #2 and Child #3's infant milk bottles were not dated.
Plan of Correction: Infant bottles are now dated daily.
View original record on Virginia Department of Social Services