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Masomeh Azadi
10249 Leesburg Pike
Vienna, VA 22182
(703) 430-0222

Current Inspector: Cynthia Ford (703) 479-4679

Inspection Date: Nov. 3, 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 Caregiver Training
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 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
1. Reviewed requirements for cleaning and sanitizing the diaper changing surface. Household cleaning wipes are not considered to be a sanitizing agent. 2. The posted Violation Notice should not be tacked down so the pages cannot be flipped for one to read the full report. 3. Discussed recent correspondence from Fairfax County Zoning requiring the licensed capacity to be reduced to a maximum of 7 children.

Comments:
Conducted an unannounced monitoring inspection. Observed 6 children + 2 children that live in the home = 22 points with the Provider + Assistant #1. The Provider + 1 child that lives in the home arrived approximately 17 minutes after the inspector. Ratios were not maintained for a second consecutive inspection. It took the inspector approximately 10 minutes to gain entry into the home. There was no response to the inspectors efforts of ringing the door bell and knocking on the front door. A call to the home was answered, but there was no reply to the inspector's greeting and then disconnected. The inspector saw children through the daycare window, and could hear at least one child at the front door. Assistant #1 eventually opened the door and explained that she was changing a diaper. Children were having indoor free-play with toys and blocks, and watching a children's program on TV with the sound turned off. One child was napping in a crib. Efforts to prevent the spread of diseases should be improved to include: compliant diaper changing, prompt disposal of body fluids, nose wiping, and surface/toy sanitizing. There was a sufficient amount of toys and equipment. A rubber surface has been installed to cover the concrete in the outdoor play area. Lunch to be served: ground beef, rice, lentils, yogurt, broccoli, and milk/water. Required documents were posted. No medications reported to be on-site and no caregivers are trained to give medicine. Inspection completed 10:25-11:40pm. Questions about this inspection may be directed to pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on 5 children's records reviewed, it was determined that 1 record did not include the parent's signed acknowledgment that emergency information was reviewed annually. Evidence: Child #6 - The last signed parent acknowledgment was dated in June 2014.

Plan of Correction: Ducament was corrected [sic]

Standard #: 22VAC40-111-100-A
Description: Based on 5 children's records reviewed, it was determined that 2 records did not include documentation of a physical exam on-file. The 30-day grace period has expired for both children. Evidence: 1. Child #12 - First day of attendance was 7/13/15. 2. Child #13 - First day of attendance was 8/31/15.

Plan of Correction: The requred ducements are attented [sic] 11/12/15 11/10/15

Standard #: 22VAC40-111-120-B
Description: Based on records reviewed, it was determined that written reference checks were not documented for a caregiver. Evidence: Assistant #1 - Date of hire was 6/10/15.

Plan of Correction: Dacuments were corrected acordangly [sic]

Standard #: 22VAC40-111-140-B-3
Description: Based on records reviewed, it was determined that there was no documentation that Assistant #1 is currently certified in CPR, as required because she was caring for children alone today. Evidence: Assistant #1 was working alone for approximately 42 minutes today when the Provider was absent from the home.

Plan of Correction: It is schedulled to get CPR certificate on 11/4/15 I won't leave her before she got it. [sic]

Standard #: 22VAC40-111-140-B-4
Description: Based on records reviewed, it was determined that there was no documentation that Assistant #1 is currently certified in First Aid, as required because she was caring for children alone today. Evidence: Assistant #1 was working alone for approximately 42 minutes today when the Provider was absent from the home.

Plan of Correction: Assistant #1 is scheduled to attend and get the certificate.

Standard #: 22VAC40-111-180-A
Description: Based on 3 adult records reviewed, it was determined that 2 records did not include current TB screenings. Evidence: The previous TB screenings for the Provider + Adult #1, that lives in the home, expired in September 2015.

Plan of Correction: Provider get the T.B Test on 11/3/15 and second Person 11/10/15

Standard #: 22VAC40-111-240-A
Description: Based on observations made, it was determined that toys were not maintained in a clean condition. Evidence: Child #11 was observed wiping his runny nose and then touching toys with mucus on his hands, and at one point putting a toy in his nose. The nasal discharge was yellow in color. The toys touched by the child were dropped on the floor and then touched by other children.

Plan of Correction: It is an alergie and season change time. We clean the toys pridacly, all toys at the or game be cleaned [sic]

Standard #: 22VAC40-111-320-B
Description: Based on observations made it was determined that a child resistant protective cover was not on an unused electrical outlet in the daycare kitchen area. Evidence: The outlet was located above the counter. Children were observed in this area as they went to/from the bathroom, and it is also a pass through area for children to go to/from the outdoor play area.

Plan of Correction: The outlet is located above 42" above the Floor and about 24" for from the edge at conuter top kids should be over 5" tall to reach that outlet outlet was realnol with [sic]

Standard #: 22VAC40-111-570-A
Description: Based on observations made and interviews conducted it was determined that ratios were not maintained and points exceeded the maximum allowed of 16 per caregiver for a period of time today. Evidence: 1. When the inspector arrived at the home at 10:25am, Assistant #1 was working alone with 7 children + 1 child that lives in the home = 22 points. 2. Assistant #1 reported that the Provider had left the home at approximately 10:00am. 3. The Provider was observed by the inspector returning to the home at approximately 10:42am.

Plan of Correction: Provider had to visit her kid school for 10:10 to 10:42 (short time). assitant will get the CPR soon to be able to handle such emergency condition by herself [sic]

Standard #: 22VAC40-111-690-D
Description: Based on observations made and interviews conducted, it was determined that the diaper changing surface was not cleaned or sanitized after use today. Evidence: After changing a child's diaper, Assistant #1 wiped the changing surface with a baby wipe. The surface was not cleaned with soap/water or a cleaning detergent solution; nor was it sanitized with a bleach/water solution or a sanitizing solution approved by the U.S. Environmental Protection Agency.

Plan of Correction: Assistant #1 received a trianing for diaper changing surface [sic]

Standard #: 22VAC40-111-690-L
Description: Based on observations made, it was determined that a portable potty (toilet chair) was not emptied after use. Evidence: Urine was observed sitting in the portable potty located in the bathroom.

Plan of Correction: Assistant received more training 11/3

Standard #: 22VAC40-191-60-C-1
Description: Based on records reviewed, it was determined that a caregiver did not have a satisfactory Criminal Record Check (CRC) Evidence: Assistant #1 - The CRC on-file,dated in July 2015, did not include the correct social security number. The social security card was on-file and the numbers did not match. One digit was incorrect.

Plan of Correction: Document was sent to Police dept for correction.

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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