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Nilou Adelkhani

Inspection · 2023-09-12

Date
2023-09-12
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
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 announced Initial Inspection was conducted today. There were a total of 4 children (11pts) with the Provider present during the inspection along with 1 household member. The program operates only on the lower level of the home. Walk thru of all 3 levels of the home was made which included all bedrooms, bathrooms and kitchen space. There were 3 cribs onsite all of which were inspected and determined appropriate for use. The home was maintained and furnished with equipment such as high chairs, small table and toys and materials that were determined age appropriate for the children who were currently in care. The children were interacting with each other while playing with animal figurines on the floor. Diapering and hand washing procedures were observed during the inspection as the children transitioned to morning snack. 3 of the children were fastened safely in high chairs and 1 child sat at the nearby table. Snack today included sliced grapes, apples and fish crackers with water to drink. Positive interactions were observed between the provider and the children, particularly one new child recently enrolled who was adjusting to the home. A total of all 4 children's records, provider and household records that included background check results were reviewed. Some violations were found today and a corrective action plan for each was discussed. This inspection occurred between 9:30am and 11:50am. Thank you for your cooperation today.
Please email me at: lisa.hudson@doe.virginia.gov with any questions regarding this inspection or any licensing needs.

Violations

9
Standard 8VAC20-800-280
Based on observation of the family day home, potentially poisonous substances were accessible to children.
Evidence:
Cleaning agents and disinfectants were found accessible to children in the bathroom located in the lower level of the bathroom.
Plan of Correction: The cleaning items were moved to an area that is inaccessible to children.
Standard 8VAC20-800-340-C
Based on observation of a bathroom, the bathroom did not contain one required item.
Evidence:
The bathroom located on the lower level of the home did not have paper towels.
Plan of Correction: This was corrected during the inspection. Paper towels will be maintained.
Standard 8VAC20-800-350-E
Based on water temperature, the hot water taps available to children were not maintained within a range of 105 to 120 degrees.
Evidence:
The water temperature in the lower level bathroom used by children in care had a reading of 130 degrees.
Plan of Correction: We will adjust the water temperature so it is below 120 degrees.
Standard 8VAC20-800-60-B
Based on child record review, children's records did not contain all required information.
Evidence:
1. The first day of attendance was not found for Child #1, 2 and 4.
2. The physician and phone number/address was not found for Child #1.
3. Two emergency contacts was not found for Child #3 and #4.
4. Medical insurance policy and number was not found for Child #4
5. The insurance policy number was not found for Child #3.
Plan of Correction: All of this information will be obtained from the parents.
Standard 8VAC20-800-70-A
Based on review of child records, information to parents were not provided in writing before children's first day of attendance.
Evidence:
The following information was not provided to the parents of Child #1, #2, #3 and #4:
1. policy for medication
2. daily schedule
3. requirement for reporting communicable diseases
4. emergency plan
5. liability declaration
6. presence of any pets
7. substitute provider hours
8. Department's website with information on compliance history of the family day home
Plan of Correction: My contract will be revised and will include all of this information.
Standard 8VAC20-800-750-B
Based on observation of the family day home, topical ointments were accessible to children.
Evidence:
Topical ointments were accessible to children in care in the lower level bathroom, underneath the diapering area and in a basket located in the foyer of the home.
Plan of Correction: This was corrected during the inspection. Topicals were moved to an area that is not within reach of children.
Standard 8VAC20-800-790
Based on observation of the family day home, telephone numbers were not posted.
Evidence:
The following phone numbers were not posted:
1. Local police, fire, and emergency medical responders
2. The responsible person for emergency backup care
Plan of Correction: All required emergency numbers and substitute provider will be posted.
Standard 8VAC20-800-800-A
Based on review of the family day home's policies and plans, a written emergency preparedness and response plan was not found.
Evidence:
The Provider's emergency preparedness plan was not completed.
Plan of Correction: The emergency preparedness plan will be completed by Monday.
Standard 8VAC20-800-810
Based on review on observation of the family day home, evacuation routes were not established.
Evidence:
Designated primary and secondary routes out of the home were not included in the evacuation procedures.
Plan of Correction: An evacuation map will be completed and posted that show primary and secondary evacuation routes.
View original record on Virginia Department of Social Services