VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cordia Al-Qahhar
9 Briar Hill Drive
Fieldale, VA 24089
(276) 224-6316

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Nov. 28, 2022

Complaint Related: 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 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSE PROCESS 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 54.1 PROVIDER MUST BE MAT CERTIFIED TO ADMINISTER PRESCRIPTION MEDICATION 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced renewal inspection was conducted on 11/28/2022. There were 4 children, ages 17 months- 4 years, totaling 9 points and 2 caregivers present during the inspection. The inspector reviewed compliance in the areas of administration, personnel, environment and equipment, preventing the spread of disease, emergencies and nutrition. A total of 5 children?s records, 2 caregiver records, 1 pet record and 2 medications were reviewed. The children were observed during story time, watching television, having lunch and during nap time. The inspector discussed medication and administration requirements with the provider. The inspector arrived for the inspection at 10:15 am and departed at 12:45 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-800-730-D
Description:	Based on observation, the provider failed to ensure that medication, including medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a gallon zip-lock bag with numerous prescription medications for household members on a high shelf near the changing table; the medication was not locked to prevent access by children. 2. There was a bottle of Tylenol in the window sill of the kitchen; the medication was not locked to prevent access by children. 3. There were two epi-pen stored in the first aid kit located on the top of a tall filing cabinet. The first aid kit was not locked to prevent access by children.
Plan of Correction:	All medications will be locked up.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, the provider failed to ensure that each child?s record shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: the parent?s signed acknowledgement of the receipt of the information required by the standards; and written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. 2. The record for Child 4 did not contain the following information: the parent?s signed acknowledgement of the receipt of the information required by the standards (the 2nd page was missing); and documentation of the review of the child?s emergency contact information as required (the most recent review took place on 09/20/2021). 3. The record for Child 5 did not contain the following information: the parent?s signed acknowledgement of the receipt of the information required by the standards (the 2nd page was missing); and documentation of the review of the child?s emergency contact information as required (the most recent review took place on 09/13/2021).
Plan of Correction:	Will have all families complete new enrollment packets every January.
Standard #:	8VAC20-800-280
Description:	Based on observation, the provider failed to ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food and in areas inaccessible to children. Evidence: 1.There was a spray bottle of Kaboom cleaner in the bathroom floor that was accessible to children. 2. There were several containers of bleach, sanitizing wipes and Kaboom cleaner in the floor beside of the stove in the kitchen that were accessible to children. 3. There were 2 aerosol cans of Lysol and 2 containers of sanitizing wipes on top of the refrigerator along with the boxes of cereals.
Plan of Correction:	Will relocate and lock them up.
Standard #:	8VAC20-800-340-C
Description:	Based on observation, the provider failed to ensure that the bathroom shall contain toilet tissue, liquid soap, and paper towels. Evidence: There was no liquid soap in the bathroom.
Plan of Correction:	Soap was placed in the bathroom during the inspection.
Standard #:	8VAC20-800-460-D
Description:	Based on record review, the provider failed to ensure that dogs and cats shall be vaccinated for rabies. Evidence: The most recent 1 year rabies vaccination for Pet 1 was administered on 08/27/2021; an updated rabies vaccination was due in 08/2022.
Plan of Correction:	Have an appointment scheduled for December.