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Muhammad Butt
4311 Birchlake Ct.
Alexandria, VA 22309
(703) 780-9460

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Aug. 5, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
1. Reviewed importance of providing age appropriate activities, which may mean separating the children into different groups. 2. Behavior guidance should not include promises of things not given, or telling the children they are not going to do something that they will in fact be doing. 3. Recommended the swings (at the community playground) that had hard mulch under them not be used, and to closely monitor children on the playground. This includes preventing children from walking in front of others that are swinging. 4. The path between the fences should be free of hazards before allowing the children to walk that way to the playground. This includes tall weeds, and vines on the ground.

Comments:
Conducted an unannounced monitoring inspection. Observed 11 children = 20 points with the Provider + Assistant. Ratios were in compliance. Children were having indoor free-play, computer time, washing hands, eating snack, coloring and reciting activities, and playing on the playground. The coloring and reciting activities became a challenge with all of the children grouped together, as the older children were talking back and saying unkind things to each other, while the younger children were whining and crying. Behavior guidance included a promise of stickers that were not given out, and telling children they would not go to the playground and would remain at the house with the inspector. Snack included, yogurt, apples, and water. The home was found to be clean, safeguarded appropriately, and sufficiently supplied with toys and equipment. Required documents were posted. Record keeping violations found. Inspection completed 10:15-11:40am.

Violations:
Standard #: 22VAC40-111-480-D
Description: Based on observations made and interviews conducted, it was determined that equipment was not used in accordance with the manufacturer's instructions. Evidence: 1. Child #6 was placed in a high chair for snack however, the safety belt was not fastened and the child was observed standing up in the high chair, on his knees in the chair, and leaning over the tray trying to reach something on the floor. 2. Child #1 told the Inspector that Child #6 often stands in the high chair, and that she has told the Provider. Child #6 was then observed telling the Provider about Child #1 standing in the high chair.

Plan of Correction: I will make sure to check seat belt after putting kids in high chair

Standard #: 22VAC40-111-640-3
Description: Based on observations made, it was determined that an older child was punishing a younger child for unwanted behavior. Evidence: Child #1 was observed multiple times yelling at the younger children when they were not following instructions, and one time putting her hands around the neck of a child who was not listening to the Provider. No conversation or corrective actions were observed to have occurred by the Provider to address this behavior.

Plan of Correction: Spoke with the child, that she is not allowed to do this and in future close eye would will be continued if any behaviors of such kind observed [sic]

Standard #: 22VAC40-191-40-D-1-c
Description: Based on records reviewed, it was determined that the Provider did not have a current Sworn Disclosure Statement (SDS). Evidence: The SDS on-file expired in April 2015.

Plan of Correction: I made a sworn disclosure on the same date it is in the file now

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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