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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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Ms. Huma Farrukh
15369 Tina Lane
Woodbridge, VA 22193
(703) 897-6379

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: May 8, 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
22VAC40-111 Transportation
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: Subsidy enrollment.

An unannounced renewal inspection was conducted beginning at 11:10 and ending at 12:30. There were 4 daycare children and one child who lives in the home. Children were ages 5 months - 4 years. One additional school age child will be here after school. The provider's daughter was helping with the children. Observed children playing in the day care area , eating lunch of chicken nuggets, french fries and milk, bread. Reviewed all children and family files - see violation notice. Provider is not MAT trained and does not give medication. Emergency escape drills are up to date. If you have any questions. Call Linda Reynolds ar 540-272-2663 or email Linda.

Standard #: 22VAC40-111-60-B
Description: Based on a review of 5 children's files, it was determined that not all files were complete. Evidence: Five of 5 files had missing information as follows: Child #1 is missing Insurance policy number and physical - enrollment date 1/3/16; Child #2 is missing a physical - enrollment date 5/23/16; Child #3 is missing a second emergency contact and insurance policy number; Child #4 is missing a physical enrollment date 5/1/16; Child #5 is missing a shot record - enrollment date last week.

Plan of Correction: The provider will review all files and get complete information,

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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