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Mehrunnisa Dakwala
9077 Two Bays Road
Lorton, VA 22079
(703) 550-0404

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: Oct. 17, 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
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:
Director and inspector discussed medication, date requirements, background check requirements and updates.

Comments:
An unannounced renewal inspection was conducted today, October 17, 2017 from 9:30am-11:45am. A Subsidy Health and Safety inspection was conducted on the same date to review supplemental health and safety requirements. There were 3 children (7 points) directly supervised by 2 staff. The home, 2 staff records, 3 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely and eating lunch. There was a sufficient supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, over the counter medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: An over the counter teething medication was placed on top of the child's cubbies and access to children was not prevented.

Plan of Correction: I will place it in a locked place.

Standard #: 22VAC40-111-800-B
Description: Based on record review, the provider did not review the emergency plan at least annually. Evidence: The emergency plan in place was reviewed last on June 26, 2016.

Plan of Correction: I reviewed it today.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination prior to a child's attendance. Evidence: Child A and Child B are missing documentation of a physical examination prior to the child's attendance.

Plan of Correction: I will tell the parents today.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the provider did not maintain complete records for assistants. Evidence: Staff A is missing orientation by the first week and emergency contact.

Plan of Correction: Today we will fill it up and put it in her file.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider did not maintain complete children's records. Evidence: 1) Child A is missing documentation of viewing the original identification of the child. 2)Child B is missing both parent work places and work phone numbers and an annual review of emergency contacts.

Plan of Correction: I will talk to parents and get the updates as soon as possible.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the family day home provider did not obtain documentation of additional immunization for an enrolled child. Evidence: Child A's (date of birth 11/10/2016) last immunization record is dated January 2017.

Plan of Correction: I will ask the parents today.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain from each adult household memeber a current Report of Tuberculosis screening. Evidence: Household member A (turned 18 yrs old in June 2017) did not have a current Report of Tuberculosis screening.

Plan of Correction: We will get the screening done as soon as possible.

Standard #: 22VAC40-111-430-A
Description: Based on observation, the provider is not sufficiently preventing access to stairs. Evidence: The provider is using a pressure mounted gate to block access to the stairs. A pressure mounted gate may fall or tumble over from a child's weight.

Plan of Correction: I will get a new gate.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on record review, the provider did not complete background checks for an employee before 30 days of employment ends. Evidence: Staff A (date of hire 7/31/2017) did not have a completed central registry or criminal history record check on file.

Plan of Correction: We submitted background checks in September 2017 but have not yet received back the completed central registry or criminal history record check.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, the provider did not complete background checks for a household member who turned 18 years of age. Evidence: Household member A ( turned 18 years old on June 2017) did not have a completed sworn statement or a criminal history record check.

Plan of Correction: We will submit all background checks as soon as possible.

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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