VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farzana Jabeen
4602 Fair Valley Drive
Fairfax, VA 22033
(571) 269-8625

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: May 13, 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 8VAC20-800 Transportation 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

1. Discussed the importance of not posting confidential information in the daycare. 2. Inspector will send provider a sworn disclosure statement form.

Comments:

An unannounced monitoring inspection was conducted at 12:30pm. Observed 5 children = 14 points with the Provider. Ratios and supervision were in compliance. Children were playing with toys, washing hands, having diapers changed, and napping during the inspection. The provider was promptly tending to the needs of the children and helping them to settle into naps. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. The home is participating in the State's VQB5 quality program. Areas of non-compliance with standards and laws reviewed were found. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Violations:

Standard #:	8VAC20-770-40-D-4-a
Description:	Based on records reviewed, the provider did not ensure that 1 of 3 household members had completed a sworn disclosure statement (SDS). Evidence: Household member #1 did not have a SDS on-file.
Plan of Correction:	The sworn disclosure statement will be completed.
Standard #:	8VAC20-800-780-B
Description:	Based on records reviewed, it was determined that the provider did not ensure that emergency contact information was reviewed and signed by the parents annually in 1 of 5 child records. Evidence: The record for Child #2 was last signed/dated by the parent in June 2021.
Plan of Correction:	The provider said she would request parents to complete the needed paperwork
Standard #:	8VAC20-800-60-B
Description:	Based on records reviewed, it was determined that the provider did not ensure that 4 of 5 children's records included required information. Evidence: 1. Child #2 - There was no work address for 1 of 2 parents listed; 1 of 1 emergency contacts did not include an address, and there was no 2nd emergency contact listed. The space was left blank. 2. Child #3 - 1 of 2 emergency contacts was not provided, and the space was left blank; and the health insurance policy number was left blank. 3. Child #4 - 1 of 2 emergency contacts was not provided, and the space was left blank.; and the health insurance policy number was left blank. 4. Child #5 - 0 of 2 emergency contacts were provided, and the spaces were left blank; and the health insurance company and policy number were left blank.
Plan of Correction:	The provider said she would request parents to complete the needed paperwork.
Standard #:	8VAC20-800-70-A
Description:	Based on records reviewed, the provider did not ensure that before the 3 of 5 children's first day of attendance parents were provided in writing required policy and procedure information. Evidence: The written information for parents form was incomplete, with sections of policies and procedures left blank, in the records of Child #3, #4, and #5.
Plan of Correction:	The provider said she would request parents to complete the needed paperwork
Standard #:	8VAC20-800-90-C
Description:	Based on records reviewed, the provider did not ensure that 2 of 5 children's records included documentation of immunizations every 6 months until the age of 2 years old. Evidence: 1. Child #1 - The immunizations on-file were dated September 2022, when the child was 4 months old. 2. Child #2 - The immunizations on-file were dated July 2021, when the child was 5 months old.
Plan of Correction:	The provider said she would request parents to complete the needed paperwork
Standard #:	8VAC20-800-170-A
Description:	Based on records reviewed, the provider did not ensure that 1 of 3 household members had a completed TB screening. Evidence: There was no TB screening for household member #1.
Plan of Correction:	Required TB screenings will be completed.
Standard #:	8VAC20-800-180-A
Description:	Based on records reviewed, the provider did not ensure that 2 of 3 household member s had a TB screening every 2 years. Evidence: 1. The last TB screening for household member #2 was dated 1/21/19. 2. The last TB screening for household member #3 was dated 5/8/19.
Plan of Correction:	Required TB screenings will be completed.
Standard #:	8VAC20-800-320-B
Description:	Based on observations made, the provider did not ensure that electrical outlets in the daycare area had child-resistant protective covers. Evidence: A low-level outlet in the main daycare room did not have a protective cover.
Plan of Correction:	Outlets will be checked and covered daily.