Ms. Ghazala Shah

22VAC40-111-100-A · Based on a review of two children's records, the provider did not obtain documentation that each child has received a physical examination by or under the direction of a physician prior to the child's first attendance or within one month after attendance. Evidence: the records for child #1 and child #2 (date of first attendance: 5/10/2021) did not have documentation of a physical examination.

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8VAC20-800-690-D · The diapering surface shall be nonabsorbent.

During inspection, a rip was noticed in the diaper changing pad preventing it from being nonabsorbent.

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8VAC20-800-730-D · (Repeat Violation) Based on observation and interview with staff, the Provider did not ensure that medications, including refrigerated medication and medication for caregivers and household members, was kept in a locked place using a safe locking method that prevents access by children.

Evidence: The Provider had a triple antibiotic medication stored unlocked on the shelves in the infant crib room.

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8VAC20-800-180-A · Based on review of 3 household records, the Provider did not obtain for each Household member or caregiver a current report of Tuberculosis screening every 2 years from the date of the first screening.

Evidence: The record for Household member #1 contained a Tuberculosis screening that was last completed on 10/7/21.

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8VAC20-800-730-D · (Repeat Violation) Based on observation and staff interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

Evidence: A medication was stored unlocked on top of a table in the front hall where children enter the home and have access.

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8VAC20-800-50-A · Description: Based on review of the written attendance record and interview with the Provider, the Provider did not ensure they maintained a written record of children in attendance each day.

Evidence: During the inspection in was determined there were 7 children present, but the written record reflected there were 5 children present.

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8VAC20-800-730-D · Based on observation and staff interview, the provider did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children.

Evidence: A medication was stored on the edge of the counter in the kitchen.

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22.1-289.035-B-2 · Based on review of 2 staff records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire.

Evidence: The record for Staff #2 (Date of Hire 8/1/22), did not contain documentation of a fingerprint background check completed prior to their date of hire.

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22.1-289.035-B-2 · Based on review of two caregiver records, the provider did not have an Office of Background Investigations (OBI) fingerprinting-based criminal history record determination letter prior to a caregiver beginning employment. Evidence: The record for caregiver #2 (date of hire: 9/14/22) had a determination letter dated: 9/29/22.

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22VAC40-665-230-E-1 · Based on review of documentation, it was determined that not all caregivers have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care with training that included an in-person competency demonstration. Evidence: the record for caregiver #2 (date of hire: 9/14/21) had documentation of CPR from the National CPR Foundation which doesn't include an in-person competency demonstration.

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