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Kokab Deen

Inspection · 2024-09-04

Date
2024-09-04
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

Inspector Notes

An unannounced, non-mandated, on-site monitoring inspection was initiated on 09/04/2024 and completed on 09/04/2024, as a part of the conditional licensure period. The on-site inspection began at 10 am and ended at 12 pm. The inspector reviewed compliance in the areas listed above. There were (6) children present and (2) caregivers; the point total was (19 points). The inspector reviewed (6) children?s records and (2) staff records [on-site] on 09/04/2024. This inspection included:

? document review of policies and procedures, emergency drill logs, certificates, authorization forms,
? tour of the facility, and
? interviews.

Information gathered during the inspection determined non-compliance with the applicable standards and the violations were documented on the violation notice issued to the program.

Violations

5
Standard 8VAC20-800-100-A
Based on review, 1 of 6 children files indicated that the Provider did not obtain documentation of a physical examination (by or under the direction of a physician) within 30 days after the child's first day of attendance.

Evidence -
1. On the date of inspection (09/04/2024), documentation of a physical examination was not available for review for Child #5.
2. The start date for Child #5 was listed as 05/28/2024.
3. This same standard was cited during the previous inspection conducted on 06/25/2024.
Plan of Correction: All missing information and/or documentation will be obtained and placed on file.
Standard 8VAC20-800-60-B
Based on review, 1 of 6 children files indicated that not all of the required information was on file.

Evidence -
1. On the date of inspection (09/04/2024), the policy number for the medical insurance listed for Child #5 was not available.
2. The start date for Child #5 was listed as 05/28/2024.
Plan of Correction: All missing information and/or documentation will be obtained and placed on file.
Standard 8VAC20-800-70-B
Based on review, 1 of 6 children files indicated that not all of the required documentation was complete and/or correct.

Evidence -
1. On the date of inspection, the decision to administer medication form used by the Provider for Child #5 was incorrectly completed. It had the Provider has listing herself with the intent to administer both prescription and over-the-counter medication. The Provider is not current MAT certified. The other 5 decision to administer medication forms for the remaining enrolled children was not completed in the area of whether or not the Provider would administer mediation at all. The two boxes were left blank.
2. The Liability Insurance Declaration form was not available for review for all 6 children.
3. This same standard was cited during the previous inspection conducted on 06/25/2024.
Plan of Correction: All missing information and/or documentation will be obtained and placed on file.
Standard 8VAC20-800-780-B
Based on review, 2 of 6 children files indicated that annually, the Provider did not review with the parent the emergency contact information (as required in 8VAC20-800-60 B 2) to ensure that the information was correct, and obtained the parent's signed acknowledgment of this review.

Evidence -
1. On the date of inspection (09/04/2024), the following children had annual reviews older than 1 year: Child #3 (last review documented on 08/31/2023), and Child #4 (last review documented on 11/01/2022.
2. This same standard was cited during the previous inspection conducted on 06/25/2024.
Plan of Correction: A review and signature with date will be obtained and placed on file.
Standard 8VAC20-800-80-A
Based on review, 1 of 6 children files indicated that the proof of identification was not established within 7 days of the child's start date.

Evidence -
1. On the date of inspection (09/04/2024), the Proof of Identification for Child #5 was not available for review.
2. The start date listed for Child #5 was 05/28/2024.
3. This same standard was cited during the previous inspection conducted on 06/25/2024.
Plan of Correction: All missing information and/or documentation will be obtained and placed on file.
View original record on Virginia Department of Social Services