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Roina Mustafa
7702 Tanner Robert Court
Springfield, VA 22153
(703) 569-4084

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: May 27, 2016

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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed the following standards: children's records, caregiver records, and physical plant.

Comments:
An unannounced monitoring inspection was conducted today. Observed 6 children (19 points) directly supervised by 2 caregivers. Ratio and supervision were in compliance. A sample of 2 children's records, 2 caregiver records, and 1 household member were reviewed. The physical plant, emergency supplies and procedures were also reviewed. No medications were reported to be on site. The children were engaged in various activities, to include: free play, snack time, and infant care. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or anailim.dally@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-120-B
Description: Based upon documentation reviewed, a caregiver record was incomplete. Evidence: One of the two caregiver records reviewed did not contain documentation that two or more references were checked before employment (Caregiver #1; Date of hire 05/2015).

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based upon documentation reviewed, a child's record was incomplete. Evidence: One of the two children's records reviewed did not contain annual documentation of the review of the child's emergency contact information; last reviewed was dated 03/29/2015 (Child A).

Plan of Correction: Not available online. Contact Inspector for more information.

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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