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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Bilquis Qadiri
42526 Longacre Drive
Chantilly, VA 20152
(703) 371-1013

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Nov. 30, 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 Emergencies
22VAC40-111 Nutrition
63.2 Licensure and Registration Procedures
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed with provider: White Delta crib may not be used until a certificate of compliance can be obtained. If no certificate is obtained remove the crib - do not use until that time.

An announced Initial inspection was conducted today. There are 4 children present with 2 adults. 6 adult and 4 children's files were reviewed. See violation notice form missing information. All original background documents were reviewed. Children were observed resting, using the bathroom, washing hands, eating snack and playing. There are 3 cribs assembled for use with acceptable manufacture dates. Due to case load adjustments, your next inspection may be with a different inspector. All inspectors carry ID badges for security purposes. If you have any questions regarding this inspection, please contact me a 703-479-4678. LI was present today from 8:50 AM - 10:25 AM/

Standard #: 22VAC40-111-120-B
Description: Based upon a review of files, staff file are incomplete. Evidence: Staff A's file does not have references on file prior to employment.

Plan of Correction: I will do the references for her file.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of files, parents have not been provided all required policies and procedures in writing. Evidence: Missing information includes but may not be limited to: termination policy, check in and out procedures, schedule of the day. (Children 1,2,3,4)

Plan of Correction: I will complete the model DSS form already in use, and have the parents initial changes.

Standard #: 22VAC40-111-320-A
Description: Based upon direct observation, small appliances were plugged in while not in use. Evidence: A toaster and coffee maker were plugged in , in the space used by the tenant.

Plan of Correction: I will remind the tenant to unplug the appliances. Unplugged during the inspection.

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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