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Nargis Akbar
5787 Valley View Drive
Alexandria, VA 22310
(703) 922-7156

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: Feb. 23, 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 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
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
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 with the provider that children should not walk around while eating or drinking and should not be allowed to walk around with toys in their mouths.

Comments:
An unannounced monitoring/renewal inspection was conducted today from 10:10am-11:40am. There were 5 children (20 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely, napping and interacting with the caretakers. Diapering procedures were also observed. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (703)479-4680

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on review, the provider failed to ensure that medications are given to children only with the written authorization of the parents and or a physician. Evidence: Reviewed the medication log and found that CH5 is given over-the-counter medication (gas drops) without written authorizations from the parent and or the physician.

Plan of Correction: The parent is going to bring the form this evening.

Standard #: 22VAC40-111-900-B
Description: Based on observation, the provider failed to ensure that children are not allowed to eat or drink while walking, running, playing, lying down or riding in vehicles. Evidence: Observed that CH1 was walking and running around the playroom while drinking milk from a bottle.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-111-110-B
Description: Based on review, the facility failed to ensure that each child's physical examination and immunization record are signed by a licensed physician, the physician's designee or an official of a local health department. Evidence: Reviewed 5 children's records and found that CH3 did not have documentation of a signed health evaluation.

Plan of Correction: I will ask "their" mother.

Standard #: 22VAC40-111-60-B
Description: Based on review, the facility failed to ensure that children's records are maintained with the required information. Evidence: Reviewed 5 children's records and found that: 1) CH1 and CH3 did not have documentation of medical insurance or insurance policy numbers in their records. 2) CH4 did not have documentation of a second emergency contact.

Plan of Correction: I will do it right away.

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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