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Hasiba Dosky

Inspection · 2024-12-02

Date
2024-12-02
Complaint Related
No
Licensing Inspector
Laura Brindle
(540) 905-2062
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
8VAC20-770 Background Checks
22.1 Early Childhood Care and Education
54.1 Provider must be MAT certified to administer prescription medication

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 renewal inspection was initiated and completed on 12/2/24. The on-site inspection began at 10:35am and ended at 12:35pm. The inspector reviewed compliance in the areas listed above. There were nine children present and two caregivers; the point total was 28. The inspector reviewed six children?s records and four caregiver/household member(s) 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 12/17/24. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 22.1-289.035-B-1
Providers are required to obtain a completed sworn statement prior to the employee?s first day of employment.

The sworn statement on record for Caregiver B was dated 10 days after beginning employment.
Plan of Correction: Sworn Statement will be obtained prior to any future employment.
Standard 8VAC20-800-100-A
Providers must obtain documentation of a physical examination prior to a child?s attendance or within 30 days after the first day of attendance.

There was no physical on record for Child C, who had been enrolled for more than two months; or for Child E, who had been enrolled for more than four months. The physicals on record for Child A and Child B were dated more than seven weeks after beginning attendance.
Plan of Correction: Documentation of physical examination will be obtained before the first day of attendance.
Standard 8VAC20-800-120-B
The provider must maintain a record for assistants that contains all required documentation.

The record for Caregiver B did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
Plan of Correction: 2 reference letters were obtained and added to the folder.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis (TB) screening from a caregiver at the time of hire and prior to coming into contact with children.

The TB screening on record for Caregiver B was dated two days after the caregiver began working in the family day home with children.
Plan of Correction: Tuberculosis (TB) Screening will be obtained prior to future employment.
Standard 8VAC20-800-220-B
Caregivers required to have Medication Administration Training (MAT) are required to be retrained every three years.

The provider is required to have MAT training based on their policy and due to accepting a prescription emergency medication for a child, but the provider?s MAT training expired more than nine months prior to the inspection.
Plan of Correction: MAT training is scheduled.
Standard 8VAC20-800-50-A
Providers must keep a written record of children in attendance each day.

The attendance on 12/2/24 contained documentation of seven children in care. Nine children were observed in care.
Plan of Correction: Attendance record will be maintained daily.
Standard 8VAC20-800-700-C
When an authorization for medication expires, the provider is required to notify the parent that the medication needs to be picked up within 14 days or the parent must renew the authorization.

A medication authorization form for Child G contained documentation from the doctor that the authorization expired on 7/20/24, more than four months prior to the inspection.
Plan of Correction: Authorization for Medication will be maintained and parents will be notified.
Standard 8VAC20-800-960-G
Bottles must not be heated in a microwave oven.

On 12/2/24 Caregiver A was observed warming a child?s bottle in the microwave.
Plan of Correction: Bottles will never be heated, glass container will be used.
View original record on Virginia Department of Social Services