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Nuria Ibrahim
10625 West Drive
Fairfax, VA 22030
(703) 591-9424

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: Feb. 2, 2017

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 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
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
The following inspection took place between the hours of 8:15 am through 9:30 am. Today, I met with the Provider on site at the Family Day Home (FDH). At the start of this unannounced renewal inspection there were a total of 4 children (8 points) with 1 caregivers. A total of 5 children's files were reviewed. The children were engaged in the following: toy play, play dough, and snack. The violations were reviewed with the provider. Please contact me if you have any questions at Margaret.allworth@dss.virginia.gov or 703-209-3521.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider has not reviewed annually with the parents the emergency contact information and obtained a signed acknowledgement of the review. Evidence: The provider has not obtained parent's signed acknowledgement of the review of emergency contact information for child #2, and #3 last review dated 8/19/2015.

Plan of Correction: I will have the parents review the information and sign the form.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider has not obtained within 30 days of first day of attendance a child's physical examination. Evidence: Child #1, date of attendance 9/6/16, does not have documentation of a physical examination.

Plan of Correction: I will ask the parent to provide a copy of the physical exam.

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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