VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rubina Sadiq
22312 Lost Branch Circle
Ashburn, VA 20148
(571) 723-3975

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: July 26, 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 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-820 HEARINGS PROCEDURES 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

Technical Assistance:

Reviewed the provider's renewal application onsite. Discussed the online portal required for submission of the application. Provider emails will continue to provide resources such as upcoming trainings that are available.

Comments:

An unannounced Renewal inspection was conducted today. A total of 11 children (28pts) with 3 staff were present during the inspection. The children were divided into two groups. One group were playing in the smaller programming room and the other group was playing in the larger space. The children transitioned to the larger room, washed hands and sat for morning snack. Snack was sliced apples and water to drink. After snack, they were able to play freely on the floor or engage in wooden puzzles at the table. Diapering and handwashing procedures were observed. Consultation provided regarding the diaper surface and proper sanitizing and also avoiding choking hazards when food is served. All staff and household records were reviewed and a total of 6 children's records were also reviewed. No medication needs at this time. The home was found neat and organized and equipped with age appropriate toys and equipment for the children currently in care. One repeated violation found along with other violations. This inspection occurred between 9:40am and 12pm. Thank you for your cooperation today. Please email me at: lisa.hudson@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-800-900-A
Description:	Based on observation of morning snack, food was served to children under the age of four years was not in a manner that reduced the risk of choking. Evidence: Three children were under the age of 4 years and were served raw apples that were sliced in quarters.
Plan of Correction:	Staff cut the apples into thinner pieces immediately. All food will be cut into small, then pieces to prevent choking.
Standard #:	8VAC20-800-960-E
Description:	Based on observation of the food preparation area, infant bottles were not properly labeled. Evidence: Two infants were present with infant bottles. The bottles were not labeled with each child's name and date.
Plan of Correction:	All infant bottles will be labeled with the child's name and the date.
Standard #:	8VAC20-800-90-C
Description:	Based on child record review, documentation of additional immunizations every six months were not obtained for children under the age of 2 years. Evidence: Child #1 is under the age of 2 years. Last documented immunizations were dated 05/22. Child #2 is under the age of 2 years. Last documented immunizations were dated in 09/22.
Plan of Correction:	I will ask the parents for the updated immunizations today.
Standard #:	8VAC20-800-690-D
Description:	Based on observation of the diapering area, the surface area was no longer nonabsorbent. Evidence: The diaper mat located on the changing table in the bathroom had a crack on the surface exposing the foam stuffing which can not be properly sanitized.
Plan of Correction:	We will switch the diaper surface from the new one in the nap room. We will dispose of the other one.