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Sahar Mohsini

Inspection · 2024-10-23

Date
2024-10-23
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
20 Access to minor?s records
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 10/23/24 and completed on 10/23/24, as a part of the licensure period. The on-site inspection began at 11:00am and ended at 12:25pm. The inspector reviewed compliance in the areas listed above. There were five children present and two caregivers; the point total was 14. The inspector reviewed five children?s records, two caregivers' and two household members' 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.

Violations

7
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.

There were no physical exam records available for Child #3 and Child #4, who had been in attendance for over four months.
Plan of Correction: The physical exams will be requested for each child.
Standard 8VAC20-800-60-A
An up to date record for each child enrolled shall be maintained by the provider. There was no record for Child #6, who was in care during the inspection and had been in care for over a week.
Plan of Correction: The missing information will be requested and will be kept in the home.
Standard 8VAC20-800-60-B
(REPEAT VIOLATION) A child's record shall contain the required information.

The record of Child #1 and Child #2, who had been enrolled for over five months, did not contain written parental authorization for emergency medical care.

The record of Child #1, Child #2, Child #3, and Child #4 did not contain the name, address and telephone number of a second designated person to contact in case of an emergency if the parent cannot be reached.
Plan of Correction: The missing information will be requested on each child and added to their file.
Standard 8VAC20-800-70-B
(REPEAT VIOLATION) The provider shall obtain the parent's written acknowledgement of the receipt of the information in this section.

The record of Child #1, Child #2, Child #3, Child #4, and Child #5 did not contain the parent's written acknowledgment of the receipt of the required information. The children had been in attendance for over five months.
Plan of Correction: The missing information will be requested on each child and added to their file.
Standard 8VAC20-800-800-A
(REPEAT VIOLATION) The family day home shall have a written emergency preparedness and response plan.

There was no emergency preparedness and response plan available at the time of inspection.
Plan of Correction: The provider will complete the VDOE model form for the emergency preparedness plan.
Standard 8VAC20-800-830-D
Records of emergency evacuation and shelter-in-place drills shall be maintained for one year.

There was no documentation of the emergency evacuation and shelter-in-place drills that have been practiced in the last year.
Plan of Correction: The practice drills will be documented moving forward.
Standard 8VAC20-800-90-C
The provider shall obtain documentation of additional immunizations once every six months for children under the age of two years.

Child #5, 12 months old, last documented immunization was over eight months ago.
Plan of Correction: Additional immunizations will be requested.
View original record on Virginia Department of Social Services