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Mehrunnisa Dakwala
9077 Two Bays Road
Lorton, VA 22079
(703) 550-0404

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: June 22, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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
63.2 Licensure and Registration Procedures
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed with provider: all requried paperwork for children's files, paperwork for potential assistant, gate on the stairs.

Comments:
An announced Initial inspection was conducted today. There are 2 children present (4 points) with 2 adults. 3 adult and 2 children's files were reviewed. See violation notice form missing items. There is one crib assembled for use with a manufacture date of 4/2016. Children were observed playing during today's inspection. Due to case load adjustments, your next inspection will be with a different inspector. All inspectors carry ID badges or a business card for security purposes. If you have any questiosn regarding this inspection, please contact me at 703-479-4678. LI was present today from 9:45 AM - 11:30 AM

Violations:
Standard #: 22VAC40-111-760-A
Description: There is not a second triangular bandage in the first aid kit.

Plan of Correction: I will make a second triangular bandage.

Standard #: 22VAC40-111-770
Description: The radio available for inspection is not a weather band radio.

Plan of Correction: I will purchase a new radio.

Standard #: 22VAC40-111-800-A
Description: The emergency preparedness plan is incomplete. Evidence: All required components of the plan have not been written in on the model form.

Plan of Correction: I will complete the model DSS form.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, children's files are incomplete. Evidence: 2 of 2 files were reviewed were missing required information. Missing information includes but may not be limited to: *Parent's work information (child 1,2) *Health insurance information (child 1,2) *Emergency contact information (child 1,2) *Emergency care authorization (Child 1)

Plan of Correction: I will have the parents complete the model DSS forms.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of files, there is no written acknowledgement of all required policies and procedures. Evidence: 2 of 2 children's files reviewed did not contain all policies and procedures. Missing information includes but may not be limited to: check in/out procedures, termination policy, DSS web site address.

Plan of Correction: I will complete the model DSS form and have the parents sign it.

Standard #: 22VAC40-111-320-A
Description: Based upon direct observation, small appliances were plugged in while not in use. Evidence: In the upstairs kitchen, a blender and food processor were plugged in while not in use.

Plan of Correction: Unplugged during the inspection. I will remind others to unplug them while not using them.

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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