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Asma Ali

Inspection · 2022-08-23

Date
2022-08-23
Complaint Related
No
Licensing Inspector
Stephanie Reed
(540) 272-6558
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, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted on-site August 23, 2022. The provider was available during the inspection. There were 7 children present, ranging in ages from 15 months to 3 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records, 3 staff records, and 2 household member records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

6
Standard 8VAC20-800-110-B
Based on a review of children's records on August 23, 2022, the provider did not ensure that the immunizations report shall be signed by a licensed physician, the physician's designee, or an official of a local health department.
Evidence: The record of child #1 (enrolled 8/8/22) contained documentation of immunizations that were not signed by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction: Report was signed by the child's physician and returned.
Standard 8VAC20-800-280
Based on observation on August 23, 2022, the provider did not ensure potentially poisonous substances, materials, and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children.
Evidence: Under the sink in the bathroom used by children there was a bottle of Febreeze, a box of hair dye, and Lysol toilet cleaner. The labels on the Febreeze and hair dye contained the language "keep out of reach of children" and "caution." The label on the Lysol contained the language "keep out of reach of children" and "danger."
Plan of Correction: All chemicals were removed from listed locations and stored in an area that is out of reach to children.
Standard 8VAC20-800-550
Based on an interview with the provider on August 23, 2022, the provider failed to ensure that play pens were not used for the designated sleeping area.
Evidence: Three play pens were observed in the sleeping area. The provider stated that the play pens are used as the designated sleeping area for three children, all age 2.
Plan of Correction: All playpens were removed from the sleeping area.
Standard 8VAC20-800-60-B
Based on a review of children's records on August 23, 2022, the provider failed to ensure children's records contained all required components.
1. The records of child #2 and child #3 did not contain documentation of the name and policy number of the child's medical insurance.
Plan of Correction: Documents of said children were received on August 30, 2022.
Standard 8VAC20-800-70-A
Based on a review of children's records on August 23, 2022,, the provider failed to provide the written information required per this standard to the parents before the child's first day of attendance.
Evidence: 1. The record for child #3 (enrolled 05/9/2022) contained acknowledgement of the receipt of the written information by the parents dated 07/14/2022.
Plan of Correction: The information was signed and returned by the parent.
Standard 8VAC20-800-90-A
Based on a review of children's records on August 23, 2022, the provider did not ensure before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized.
Evidence: The record of child #3 (enrolled 5/9/22) contained documentation of immunizations dated 7/14/22.
Plan of Correction: Proof of immunization was received from parent.
View original record on Virginia Department of Social Services