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Farah Akhtar
7420 Beulah Street
Alexandria, VA 22315
(703) 922-2989

Current Inspector: Nancy Radcliffe

Inspection Date: July 10, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
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 renewal inspection was conducted today. Observed 9 children (24 points) directly supervised by 3 caregivers. A sample of 4 children's records, 3 caregiver records, and 1 household member record were reviewed. No medications were reported to be on site. The children were engaged in various activities, to include: free play, hand washing, blocks, lunch time, and infant care. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. Inspection conducted from approximately 11:30am to 12:45pm. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or anailim.dally@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-100-A
Description: Based upon documentation reviewed, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: One of the four children's records reviewed did not contain a physical examination (Child A; DOE 05/16/2016).

Plan of Correction: I will ask the parents for the form.

Standard #: 22VAC40-111-60-B
Description: Based upon documentation reviewed, children's records were incomplete. Evidence: 1) Two of the four children's records reviewed did not contain of the annual review of the child's emergency contact information (Child A; Date of enrollment (DOE) 05/16/2016, and Child B; DOE 11/18/2015). Child A last review was dated 05/04/2016. Child B last review was dated 11/02/2015. 2) One of the four children's records reviewed did not contain the name, address, and telephone number of a second person to contact in case of an emergency (Child C; DOE 01/17/2016).

Plan of Correction: I will review the files with parents when they pick up today.

Standard #: 22VAC40-111-210-A
Description: Based upon documentation reviewed, caregivers did not obtain a minimum of sixteen clock hours of training annually. Evidence: 1) Three of the three caregiver records reviewed did not contain documentation to verify that each obtain a minimum of sixteen clock hours of annual training (Caregiver #1; Date of hire (DOH) 08/25/2014, Caregiver #2; DOH 07/19/2015, and Caregiver #3). 2) Caregiver #1 had 0 hours of training between 08/25/2015 to 08/25/2016. 3) Caregiver #2 had 0 hours of training between 07/19/2015 to 07/19/2016. 4) Caregiver #3 had 13 of the 16 required hours between 07/01/2016 to 07/01/2017.

Plan of Correction: We will make sure to start training this week.

Standard #: 22VAC40-191-40-D-1-c
Description: Based upon documentation reviewed, background checks were not repeated within the allowable three years time frame. Evidence: 1) One of the three caregiver records reviewed did not contain current background checks: Sworn statement or affirmation (SDS) form, search of central registry (CPS) check, and criminal history (CRC) check (Caregiver #3). 2) Caregiver #3 last SDS form is dated 06/09/2014, last CPS check is dated 05/20/2014, and last CRC check is dated 04/04/2014. 3) Household member #1 did not have current background checks on file: SDS form, CPS and CRC checks. 4) Household member #1 last SDS form is dated 06/09/2014, last CPS check is dated 05/24/2014, and CRC check is dated 03/20/2014.

Plan of Correction: Background checks were already mailed, waiting for them to be returned.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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