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Afsaneh Azizi

Inspection · 2023-10-26

Date
2023-10-26
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
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 monitoring inspection was conducted on 10/26/2023 between the hours of approximately 9:25 am and 10:30 am, to monitor the program?s compliance with the Standards during their first 60 days of operation under the 6 month Conditional Licensure period.
There were 4 children present, ranging in ages from 6 months to 2 years, with the provider supervising. At the time of entrance, children were eating breakfast. Breakfast today consisted of pancakes, apple slices, raisins and milk. After breakfast, children went to play with puzzles. Diapering was observed.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. No medication was on site today, according to the provider. The care area was observed and required posted documents were verified. Previous violations had been corrected. A total of 3 child records, 2 staff and 2 household members 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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations

8
Standard 8VAC20-800-100-A
Based on record review, provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1) The record for Child #1 (start date 08/21/2022) did not contain documentation of a physical examination.
Plan of Correction: The child's parents provided the documentation.
Standard 8VAC20-800-320-B
Based on observation, protective covers were not installed on all unused electrical outlets accessible to children under five years of age.
Evidence:
1) An electric outlet was observed not in use and without a protective cover.
Plan of Correction: All the outlets have protective covers.
Standard 8VAC20-800-50-A
Based on document review, a written record of children in attendance each day was not kept.
Evidence:
1) At the time of entrance, there were four children in care with the provider. The record of attendance did not have children recorded in attendance for the day.
Plan of Correction: Provider will make sure to write the attendance time/date when the kids come.
Standard 8VAC20-800-60-B
Based on record review, children's records did not contain all required information.
Evidence:
1) The record for Child #3 did not contain the Provisions of the Emergency Plan.
Plan of Correction: Provider asked the parents to sign the Provisions of the Emergency Plan.
Standard 8VAC20-800-90-C
Based on record review, additional immunizations were not obtained once every six months for children under the age of two years.
Evidence:
1) The most recent immunizations in the record for Child #1 (dob 09/20/2021) were dated 10/06/2022. Updated immunizations are due for Child #1.
Plan of Correction: The parent will update the immunization record.
Standard 8VAC20-800-920
Based on document review, the current one-week period menu did not meet all requirements.
Evidence:
1) The menu was not dated as required. 2) The menu did not list substitutions as required. Today's breakfast consisted of pancakes, apple slices and milk. The menu had listed bananas as the fruit to be served. The substitution was not listed.
Plan of Correction: Provider dated the menu. Provider also listed all the substituted food/fruit on the menu.
Standard 8VAC20-800-960-B
Based on observation, the provider did not ensure that infants who cannot hold their own bottles be picked up and held for bottle feeding and that bottles were not propped.
Evidence:
1) On the date of inspection, the provider placed an infant (6 months old) in a crib and propped a milk bottle with blankets for him to drink.
Plan of Correction: Provider holds the bottle for the baby to feed him.
Standard 8VAC20-800-960-C
Based on observation, safety waist and crotch straps were not fastened according to the manufacturer's instructions in high chairs used by children.
Evidence:
1) Four children were seated on high chairs without the safety waist and crotch straps being securely fastened.
Plan of Correction: Provider fastened all the kids safety belt of high chairs.
View original record on Virginia Department of Social Services