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Farah Akhtar
7420 Beulah Street
Alexandria, VA 22315
(703) 922-2989

Current Inspector: Nancy Radcliffe

Inspection Date: July 11, 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.
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:
Discussed the following standard: administration.

Comments:
An unannounced renewal inspection was conducted today. Observed 8 children (21 points) directly supervised by 3 caregivers. Ratio and supervision were in compliance. A sample of 2 children's records, 4 caregiver records, and 1 household member record 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, hand washing, dance, and lunch. The interior of the family day home was found to be clean, organized, and well supplied with toys and equipment for the children. Areas of non-compliance are identified in this report. The exit interview was conducted with the licensee. Inspection conducted 11:30am-12:45pm. 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 #: 22VAC40-111-110-B
Description: Based upon documentation reviewed, a child's immunization record and physical examination did not meet requirements. Evidence: One of the two children's records reviewed contained immunization records and a physical examination that was not signed by a licensed physician, the physician's designee, or an official of a local health department (Child A; DOE 05/16/2016).

Plan of Correction: I will ask parents for missing information today.

Standard #: 22VAC40-111-60-B
Description: Based upon documentation reviewed, children's records were incomplete. Evidence: 1) One of the two children's records reviewed did not contain the address of the second emergency contact (Child A; Date of enrollment (DOE) 05/16/2016). 2) One of the two children's records reviewed did not contain documentation verifying the child's age and identity (Child A; DOE 05/16/2016). 3) One of the two children's records reviewed did not contain signed acknowledgement of the receipt of required information, such as, but not limited to: hours of operations, fees, sign in/out procedures, and whether or not the home has a liability insurance (Child B; DOE 07/11/2016).

Plan of Correction: I will ask parents for missing information today.

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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