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Balqees Bano

Inspection · 2024-07-23

Date
2024-07-23
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
8VAC20-820 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 monitoring inspection was conducted on 7/23/2024, as a part of the licensure period. The on-site inspection began at 10:00am and ended at 11:10am. The inspector reviewed compliance in the areas listed above. There were 5 children present and 2 caregivers; the point total was 15. The inspector reviewed 3 children?s records and 1 staff records on-site on 7/23/2024. This inspection included document review of policies and procedures, emergency drill logs, authorization forms, equipment, 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

7
Standard 22.1-289.011-F
Based on observation and interview, a required document was not posted on the premises.
Evidence: No inspection notice was posted on the premises.
Plan of Correction: Provider posted Acknowledgement form 7/23/24 inspection and will post completed/signed inspection upon receipt.
Standard 8VAC20-800-60-B
Based on record review and interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child, containing all required information.
Evidence: Child #3's record did not have name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached.
Plan of Correction: Provider will request information from parent at pick up 7/23/24 and remind parent that if no one is identified, what the home day care policy is regarding pickup.
Standard 8VAC20-800-690-D
Based on observation, the diapering surface was not nonabsorbent and washable.
Evidence: there was a tear in the surface of the diaper pad, approximately 1 1/2 inches.
Plan of Correction: Provider will purchase a new changing pad by 7/26/24 and discard old one.
Standard 8VAC20-800-780-B
Based on record review, the provider did not annually review with the parent the emergency contact information required to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.
Evidence: Child #1 1st day 6/8/2023, no documentation or parent's signature to acknowledge annual review of emergency information.
Plan of Correction: Provider will review information with parent and have signed at pick up 7/23/24.
Standard 8VAC20-800-800-A
REPEAT
Based on document review and interview, the provider did not review the emergency plan at least annually and update the plan as needed. The provider did not document in writing each review and update to the emergency plan.
Evidence: No documentation that emergency preparation/response plan was reviewed annually available at inspection.
Plan of Correction: Provider will review and document review of emergency preparedness and response plan.
Standard 8VAC20-800-830-A
Based on document review, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.
Evidence: No documentation of evacuation drills available at inspection.
Plan of Correction: Provider will document all drills and maintain record for term of license.
Standard 8VAC20-800-90-C
REPEAT
Based on record review and interview, the family day home did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years.
Evidence Child #1 (16 months old) DOL immunization 7/3/2023.
Plan of Correction: Provider will request update immunization record for child. Provider will routinely review all children files for updated immunization records.