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Kawthar Abdulla
4833 Carriage Park Road
Fairfax, VA 22032
(703) 425-2234

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Feb. 8, 2018

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 Child Abuse and Neglect
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:
Background checks, discussed the importance of maintaining up to date paperwork for staff and children. Provider needs to be more aware of the memos and e-mails that are being sent to providers about fingerprinting.

Comments:
An unannounced renewal inspection was conducted today from 10: 30 am to 1:45pm. There were 5 children (16 points) in care of two caregivers. Children were observed playing with soft toys, cars, doll house and were also observed singing songs. Staff to children interaction was observed to be positive. The children were also observed handwashing before lunch. The lunch menu included chicken nuggets, mandarin oranges, cucumbers and milk. Areas of non compliance are identified in the violation notice. .For any questions regarding this inspection please contact me at mahrukh.aziz@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, provider did not obtain a complete physical for children within 30 days after the first day of attendance. Evidence: 1. Child # 4's enrollment date was 1/2/18 2. A blank physical form was found in the child's record, which was not completed by the child's physician.

Plan of Correction: I will ask the parent to bring in the completed physical record for the child.

Standard #: 22VAC40-111-60-A
Description: Based on record review, children's records were not up-to-date. Evidence: 1. Child # 1's record was missing the liability insurance form and provisions for emergency plan. 2. Child # 3's record was missing the provisions for emergency plan. 3. Child # 4's record was missing the liability insurance form.

Plan of Correction: I will get the missing documents and place them in the children's records.

Standard #: 22VAC40-111-90-C
Description: Based on record review, provider did not obtain additional immunization records for a child. Evidence: 1. Child # 2's records did not have updated immunization records. 2. Child # 2's date of birth is 10/7/16. 3. The date from the most recent immunization records was from December 2016.

Plan of Correction: I will ask the parent to bring in updated immunization records for the child.

Standard #: 22VAC40-111-170-A
Description: Based on record review and staff interview, provider did not obtain a subsequent report of Tuberculosis (TB) Screening for household members. Evidence: 1. Household # 1 did not have an updated TB screening. 2. The date from the most recent TB documentation found on record was 2/13/11. 3. Staff # 1 stated that Household member got a subsequent TB screening in 2017 but no documentation could be found.

Plan of Correction: I will get an updated TB, if the form from 2017 is not found.

Standard #: 22VAC40-111-200-B
Description: Based on record review, orientation was not complete for staff. Evidence: 1. Staff # 2 was hired in August 2017. There was no documentation to show that Staff # 2 has completed the training for reporting Child abuse and neglect. 2. Staff # 3's hire date was 1/5/17. There was no documentation to show that Staff # 3 has completed the training for reporting Child abuse and neglect.

Plan of Correction: I will have Staff # 2 complete the training online and Staff # 3 will attend a workshop.

Standard #: 22VAC40-111-200-C
Description: Based on record review and staff interview, provider did not maintain complete documentation of orientation training for assistants. Evidence: 1. Staff # 3 was hired on 1/5/2017. 2. Staff # 1 stated that she had completed the orientation with staff # 3 but never completed the form. 3. Staff # 1 stated that she was under the assumption that the assistant record would be sufficient.

Plan of Correction: I will complete the training form and put in staff's file.

Standard #: 22VAC40-191-60-B
Description: Based on record review, provider did not obtain a complete Sworn Statement (SS) for employees. Evidence: 1. Staff # 2 was hired in August 2017. During the last inspection conducted in 11/2017, staff#1 had not obtained a complete SS for staff # 2. 2. Staff # 1 had Staff # 2 complete the SS for the adult care programs. Staff # 2 did not complete the correct form.

Plan of Correction: I will have her complete the correct form and put in her file.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review and staff interview, family day home did not obtain the central registry fro employees within 30 days of hire. Evidence: 1. Staff # 2's hire date was August 2017. 2. During the last inspection staff # 2's record did not have a complete search from the Virginia Central Registry. 3. Staff # 1 stated that she accidentally completed two criminal history searches for Staff # 2 instead of completing one Criminal History and one Central Registry. 4. There was no documentation of a complete central registry in Staff # 2's file.

Plan of Correction: I will complete the correct form and mail it out ASAP.

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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