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Maliha Mahmood
11340 Nancyann Way
Fairfax, VA 22030
(703) 281-1965

Current Inspector: Kara Wright (703) 537-6241

Inspection Date: Nov. 27, 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
22VAC40-80 THE LICENSE.
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:
Provider is to update her medication policy to inform parents that she now administers medications.

Comments:
An unannounced monitoring inspection was conducted today from 11:07am-12:30pm. There were 12 children(37 points) directly supervised by 3 staff. The home, 3 staff records, 5 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There was one medication on site today and the provider has received the Medication Administration Training since the last inspection. Children were observed playing outdoors, eating lunch, and reading. 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 the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, not all children's records were complete. Evidence: Child 2's record does not list actions to take in an emergency situation for a diagnosed food allergy.

Plan of Correction: The only child whose file was noted as "incomplete" is listed as being allergic to egg (minor allergy as no epi-pen is prescribed). The course of action, as in the case with any illness or emergency, is calling parent and/or 911. This plan of correction is now listed in writing.

Standard #: 22VAC40-111-540-A
Description: Based on observation, not all children using high chairs were seated with the safety strap securely fastened. Evidence: Two children were observed seated in high chairs without the safety straps fastened.

Plan of Correction: These two children were being fed by the teacher in complete view at the time. Due dillgence in securing safety straps at all times is reiterated.

Standard #: 22VAC40-111-680-B
Description: Based on observation, caregivers did not ensure that children's hands were washed after diapering. Evidence: 1. Staff 2 did not wash the hands of two children after they had received diaper changes.

Plan of Correction: Children's hands are washed multiple times a day before and after mealtimes, after playtime, or whenever soiled. After the inspector's recommendation, babies of all ages and toddlers will go through hand washing after each diaper change.

Standard #: 22VAC40-111-690-E
Description: Based on observation, the family day home does not have system for disposing of soiled 'bowel movement' diapers using a system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: 1. Staff 2 was observed disposing of a soiled diaper by exiting the bathroom, opening an exterior door with her soiled gloved hand and disposing of the diaper in a trash can outdoors. 2. The provider stated that diapers that are soiled as a result of a bowel movement are disposed of in this manner.

Plan of Correction: The daycare used multiple trash cans that are foot operated, automatic-sensor operated, and with swinging-lid function. These are separately placed in the nursery, kitchen, bathroom, and outdoors. To ensure an odor-free, hygienic environment, diapers with bowel movement are wrapped, secured with rubber disposable glove, and disposed in the trash bin outside. To open the door, the teacher only used her one hand that is clean, since it had been gloved. As part of the system of diaper changing, teachers exercise due diligence by washing their hands with each diaper change washing their hands with each diaper change and disinfecting surfaces. As a plan of correction, door knobs will be disinfected on the spot.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the findings of the most recent licensing inspection was not posted. Evidence: There was no inspection findings posted in the facility.

Plan of Correction: Inspection findings will be posted.

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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