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Mahrukh Qizilbash
22058 Chelsy Paige Sq.
Ashburn, VA 20148
(703) 724-0724

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Sept. 12, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Medication Administration
63.2 General Provisions.
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.

Comments:
An unannounced monitoring inspection was conducted on September 12th 2016 between 12:30pm and 1:45pm. There were 5 children (17 points) in the direct care of a provider and an assistant. Children were observed having a bottle, watching television, playing with toys, and preparing for nap time. The provider's record and the children's records were reviewed. The physical space, supervision, attendance, and evacuation drills were also inspected. If you have any questions please contact me at 703-554-4995 or at derek.acosta@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-A
Description: Based on record review, 1 of 3 children's records reviewed was incomplete. Evidence: Child record # 3 record did not have documentation of a 2nd emergency contact, complete with telephone number and address.

Plan of Correction: I will have it done today when the parent comes to pick up the child.

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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