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Helai Sherzuye
19907 Ridgecrest Square
Ashburn, VA 20147
(571) 279-2167

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date:

Complaint Related: No

Violations:
Standard #: 8VAC20-800-800-B
Description: Based on record review, the provider did not review the emergency plan at least annually and update the plan as needed.
Evidence:
1. The provider did not have documentation of an annual review of the Emergency Preparedness and Response Plan. The Emergency Plan was last reviewed on 05/01/2020.

Plan of Correction: The provider will document the review of the emergency plan.

Standard #: 8VAC20-800-180-A
Description: Based on record review and interview, the provider did not obtain subsequent tuberculosis screenings for each caregiver and adult household member.
Evidence:
1. Staff #1's record contained an expired tuberculosis screening. The screening was dated 01/10/2020.
2. Household member #1's record contained an expired tuberculosis screening. The screening was dated 01/10/2020.

Plan of Correction: The provider and household member will go today to get a new tuberculosis screening.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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