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Afsaneh Azizi

Inspection · 2025-01-22

Date
2025-01-22
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

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 01/22/2025, as a part of the licensure period.

The on-site inspection began at 11:10 am and ended at 12:45pm. The inspector reviewed compliance in the areas listed above.

There were 7 children present and 2 caregivers; the point total was 23. The inspector reviewed 3 children?s records and 5 caregiver/household member) records on-site.

This inspection included document review and tour of the facility.

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 (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 5 business days from today, which will be the close of business on 02/10/2025. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 8VAC20-770-40-D-5
Household members 14 years of age and older must obtain the results of a Central Registry Search within 30 days of a person in the home becoming 14 years old.

Household Member #2 did not have Central Registry Search results during the inspection and were overdue by 57 days.
Plan of Correction: I am still waiting for Central Registry response. Website does not work.
Standard 8VAC20-800-100-A
The provider shall 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.

There is no physical examination in the record for Child #3, who has been in care for 40 days.
Plan of Correction: Sent to the LI same day.
Standard 8VAC20-800-210-A
Caregivers shall obtain a minimum of sixteen clock hours of training annually.

Caregiver #3 completed only nine out of the 16 hours required of training for the year 2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-60-B
*REPEAT VIOLATION*
The provider shall maintain an up to date record for each child enrolled that contains all the required information.

Child #1's record (enrolled for eleven months) was missing the name, address and telephone number of each custodial parent's place of employment; the child's first date of attendance, and the parent's signed acknowledgement of the receipt of required fdh information.
Child #2's record (enrolled for nine months) was missing the telephone number of one custodial parent's place of employment; and the address of one designated person to contact in case of an emergency.
Child #3's record (enrolled for 40 days) was missing the policy number of the child's medical insurance; the child's first date of attendance; and the parent's signed acknowledgement of the receipt of the information of whether or not there is liability insurance in the fdh.
Plan of Correction: Parents filled out the forms.
Standard 8VAC20-800-680-B
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water before eating.

Children were seated on their high chairs and began eating lunch without their hands being washed with liquid soap and warm running water before eating.
Plan of Correction: I talked to her regarding to wash the kids hands before and after snack or lunch.
Standard 8VAC20-800-750-B
Topical skin products such as sunscreen do not need to be kept locked, but shall be inaccessible to children.

Two bottles of sunscreen were stored in an unlocked lower cabinet, making it accessible to children.
Plan of Correction: Put them away.
Standard 8VAC20-800-90-A
The provider shall obtain documentation that the child has been adequately immunized, before a child may attend the family day home.

There is no immunization documentation in the record for Child #3, who has been in care for 40 days.
Plan of Correction: Sent to the LI same day.