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Badria Masumi

Inspection · 2024-09-24

Date
2024-09-24
Complaint Related
No
Licensing Inspector
Leslie Perez
(703) 537-6013
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
8VAC20-770 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 on 9/24/2024, as a part of the licensure period. The on-site inspection began at 9:55am and ended at 11:00am. The inspector reviewed compliance in the areas listed above. There were 9 children present and 3 caregivers; the point total was 18. The inspector reviewed 3 children?s records, 2 staff records and 1 household member record on-site. This inspection included document review of policies and procedures, emergency drill logs, medication administration logs, emergency supplies, authorization forms,tour of the facility, interviews, and observations.
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.

Violations

5
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of 16 clock hours of training annually.
Caregiver #2 did not have documentation of trainings in the past 12 months.
Plan of Correction: Provider will have caregiver provide certificates of completing 16 hours of training. Provider will collect certificates and record training hours routinely.
Standard 8VAC20-800-60-B
Children's records are required to written authorization if a caregiver is to administer prescription or nonprescription medication.
Children's records are required to contain name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.

The record for child #2 was missing parental authorization to administer prescription medications that were on site.

The record for child #1 was missing name, address and telephone number of two designated persons to contact in case of emergency and the parents cannot be reached.
Plan of Correction: Provider will request information from parent today. Provider will review Child record prior to first day of attending to ensure all information is provided.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration.

There was not parent acknowledgement available for child #1 who has been in care for two months.
Plan of Correction: Provider will have parent review and sign agreement form today. Provider will review children's files prior to/on the first day of attending to ensure completion.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for child #3, who has been in care for over a week.
Plan of Correction: Provider will request information from parent today. Provider will ensure documentation required prior to first day of attendance is collected, prior to first day of attendance.
Standard 8VAC20-800-90-C
Documentation of additional immunizations is required once every six months for children under the age of two years. 'Child #2, 15 months old, last documented immunization was over 9 months ago.
Plan of Correction: Provider will request updated record today. Provider will review children's records periodically to ensure up to date.