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Ms. Mahdiya Sindi

Inspection · 2024-09-11

Date
2024-09-11
Complaint Related
No
Licensing Inspector
Morgan Bryson
(540) 270-0057
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
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on 9/11/2024. The on-site inspection began at 10:25am and ended at 11:15am. The inspector reviewed compliance in the areas listed above. There were 4 children present and 1 caregiver; the point total was 12. The inspector reviewed 2 children?s records and 1 caregiver and 1 household member records on-site.
This inspection included document review, 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.

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 10/8/2024. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-A
The provider is required to undergo repeat background checks every five years.

Staff #1's updated central registry search results and fingerprint-based background checks were due over three months ago. Staff #1's updated sworn disclosure statement was due over one month ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.036-A
The provider is required to obtain repeat background checks every five years for all household members.

Staff #2's updated central registry search results were due over three months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-180-A
Updated Tuberculosis (TB) screenings are required every two years for all caregivers and household members.

Staff #1's most recent TB screening was completed two years and seven months ago. Household Member #1's most recent TB screening was completed two years and two months ago.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-50-A
The provider shall keep a written record of child in attendance each day.

The provider has not been taking daily attendance for at least eight months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
Annually, the provider shall review with the parent the emergency contact information required in each child?s record to ensure the information is correct and shall obtain the parents signed acknowledgment of the review.

Records for Child #1 and #2 did not have a parent's signature for an annual review of the emergency contact information. Child #1 and #2 and have been in care for over one year and eight months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-A
Emergency evacuation procedures shall be practiced monthly with caregivers and children in care.

Emergency evacuation drills have not been conducted monthly.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-830-C
Documentation of monthly evacuation drills shall be maintained.

There was no documentation of any emergency evacuation drills being conducted.
Plan of Correction: Not available online. Contact Inspector for more information.
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, 22 months old, last documented immunizations was over 13 months ago.
Plan of Correction: Not available online. Contact Inspector for more information.