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Nargis Akther

Inspection · 2025-05-14

Date
2025-05-14
Complaint Related
No
Licensing Inspector
Charles Perkins
(703) 309-3963
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

8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC2 0-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
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 05/14/2025. The on-site inspection began at 10 am and ended at 12:30 pm. The inspector reviewed compliance in the areas listed above. There were (4) children present and (1) caregiver; the point total was (8). The inspector reviewed (7) children?s records, (1) caregiver record, and (2) household members records on-site on 05/14/2025.

This inspection included: document review (i.e. Files, injury logs (none), policies and procedures, emergency drill logs); 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

5
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 was not a physical exam record available for Child #5, who has been in care for over 3 months.
Plan of Correction: Wil obtain a physical for this child and place it on file.
Standard 8VAC20-800-60-B
Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.

The record for Child #5 was missing the signed authorization for emergency medial care. The child had been in care for 3 months.
Plan of Correction: Will obtain signed authorization.
Standard 8VAC20-800-70-B
Before the child's first day of attendance, the provider shall obtain the parent's written acknowledgement of the receipt of the information regarding family day home operations and administration.

There were no parent acknowledgements available for the following forms - The Provisions of the Emergency Preparedness and Response Plan form for the following children: Child #4, #5, #6, and #7; and the Liability Insurance Declaration form for Child #4. All listed children are currently enrolled and have been attending this program.
Plan of Correction: Will have these parents sign the required forms as an acknowledgement.
Standard 8VAC20-800-730-D
Medication for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

Both prescription and over the counter medication was observed on the kitchen table in an area accessible to the preschool age children in care.
Plan of Correction: Corrected on the date of inspection. All medication was move to a locked place that was not accessible to the children in care.
Standard 8VAC20-800-90-C
The Family Day Home (FDH) shall obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements once every six months for children under the age of two years.

Child #5, 20 months old, last documented immunization was just over 6 months ago.
Plan of Correction: Will obtain an updated immunization page for this child and place it on file.
View original record on Virginia Department of Social Services