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Afshah Khan

Inspection · 2024-08-01

Date
2024-08-01
Complaint Related
No
Licensing Inspector
Pamela Sneed
(804) 629-2691
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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

Unannounced on-site renewal inspections were initiated on 8/1/24 and completed on 8/6/24. The on-site inspection on 8/1/24 began at 12:10pm and ended at 1:19pm due to temporary unsafe conditions in the home. The on-site inspection on 8/6/24 began at 11:53am and ended at 1:45pm. The inspector reviewed compliance in the areas listed above. There were 2 children present on 8/1/24 and 1 caregiver; the point total was 4. There was 1 child present + a child living in the home and 1 caregiver; the point total was 2. The inspector reviewed 2 children's records, 1 caregiver record and 1 household member record while on-site. The inspection included document review, tour of daycare areas of the home and interviews. Information gather 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 the date the report was received, which will be the close of business on 8/16/24. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-800-280
Based on observations made, potentially poisonous substances were not stored in an area not accessible to the children. Evidence: On both 8/1/24 and 8/6/24 a variety of cleaning supplies and air freshener products were observed in an unlocked cabinet under the sink in the bathroom used by the children.
Plan of Correction: Provider removed all cleaning supplies including air fresheners from the cabinet under the sink in front of the inspector. Provider installed a child proof cabinet lock and will store all supplies in an area that is inaccessible to the children.
Standard 8VAC20-800-60-B
Based on records reviewed, 1 of 2 children's records did not include required information.

Evidence:
The record for Child #2 did not include:

1. There was insufficient medical and developmental information and no accommodation information on-file, and no information about the results of a medical evaluation on 6/27/24 that potentially would have given the provider information to better meet the needs of the child and manage aggressive behaviors reportedly occurring on a regular basis and observed by the inspector on 8/1/24.
2. There was no documentation of the medical insurance policy number. The space was left blank.
3. The emergency medical authorization was not signed by the parent.
4. The parent signed a blank medication policy form.
Plan of Correction: Provider made several attempts to have the parent complete Child #2's paperwork but wasn't successful. Child #2 is no longer enrolled in provider's program due to which the missing info couldn't and wasn't required to be completed. Moving forward, Provider will maintain all paperwork required for each enrolled child. Provider will make sure that all paperwork is up-to date, complete, and signed by parents.
Standard 8VAC20-800-920
Based on records reviewed, the menu for the current one-week period was not posted in the home.

Evidence:

1. For the week of 7/29/24-8/2/24 a menu was written and posted for one day, 8/1/24.
2. For the week of 8/5/24-8/9/24 a menu was written and posted for one day, 8/5/24.
Plan of Correction: Provider wrote menus for all weeks including weeks of 7/29/24 and 8/5/24. Provider was previously keeping an electronic record of menus. Provide will instead plan, write, date and post menus in the home each week making them available to parents at all times.
View original record on Virginia Department of Social Services