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, 2023

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 8VAC20-770 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

Comments:

An unannounced renewal inspection was conducted on 11/28/2023. There were 4 children, ages 2 years- 4 years, totaling 8 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 household member record, and 1 pet record were reviewed. The children were observed in free choice play, having breakfast, participating in a learning/art project and watching educational videos. The inspector discussed staff records and the upcoming renewal application with the provider. The inspector arrived for the inspection at 8:40 am and departed at 11:00 am. 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 #:	8VAC20-790-180-A
Description:	REPEAT VIOLATION Based on record review, the provider failed to obtain a current report of tuberculosis screening every two years from the date of the first screening for each caregiver and household member. Evidence: 1. The most recent tuberculosis screening in the record for Caregiver 2 was dated 05/12/2021; there was not a follow-up screening obtained by 05/12/2023 available for review during the inspection. 2. The most recent tuberculosis screening for Household Member 1 was dated 04/30/2021; there was not a follow-up screening obtained by 04/30/2023 available for review during the inspection.
Plan of Correction:	Will get new screenings.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider failed to 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. Evidence: The record for Child 5 contained a documented first day of attendance of 05/01/2023; there was not a physical examination in the record for Child 5.
Plan of Correction:	Will get from the parent.
Standard #:	8VAC20-800-60-B
Description:	2nd REPEAT VIOLATION 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 1 did not contain the first date of attendance. 2. The record for Child 2 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. 3. The record for Child 3 did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there was only one designated person listed).
Plan of Correction:	Will have all parents complete a new registration form to make sure all information is complete.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The most recent immunization record available for Child 2 was dated 10/22/2022. Documentation of additional immunizations were not obtained every six months for a child under the age of 2 years.
Plan of Correction:	Will get from the parent.
Standard #:	8VAC20-800-340-C
Description:	Based on observations, the provider failed to ensure that the bathroom shall contain toilet tissue, liquid soap and paper towels. Evidence: The bathroom did not contain liquid soap.
Plan of Correction:	Will put the liquid soap in the bathroom.