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Nuria Ibrahim
10625 West Drive
Fairfax, VA 22030
(703) 591-9424

Current Inspector: Margaret Allworth (703) 209-3521

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 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed fingerprinting process. Provided copy of TB screening form.

Comments:
An unannounced monitoring inspection was conducted today between the hours of 9:30 am through 11:00. There were a total of 6 children (16 points) with 1 caregiver. A total of 2 children's files and 1 staff/household member's files were reviewed. The children were engaged in the following: toy play, snack, bathroom breaks, and hand washing. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Margaret.allworth@dss.virginia.gov or 703-209-3521.

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles are not labeled and dated with infant's name. Evidence: There were 2 infants in care, a bottle was observed not labeled with the child's name or dated.

Plan of Correction: I will label each bottle.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider has not obtained documentation of the child's physical examination within 30 days of first day of attendance. Evidence: Child # 1, date of first attendance 1/2/18 does not have documentation of a physical examination.

Plan of Correction: I will ask for the physical examination.

Standard #: 22VAC40-111-60-B
Description: Based on record review, child's record is not complete. Evidence: Child # 2 record does not include the medical insurance policy number.

Plan of Correction: I will get the policy number form the parent.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider has not maintained a report of TB screening for each household member every 2 years from the date of the last screening. Evidence: Household #1 TB screening is dated 2/23/15, not within the last two years of the date.

Plan of Correction: I will have the doctor fill out the TB form.

Standard #: 22VAC40-111-530-B
Description: Based on observation, a crib had a loose fitting quilt laying on top of the bottom cover. Evidence: An infant was observed laying in the crib. There was a quilt laying loosely on top of the fitted crib sheet.

Plan of Correction: I will remove the quilt.

Standard #: 22VAC40-111-530-F
Description: Based on observation, a pillow was being used in a infant crib. Evidence: There was an infant observed in a crib with it's head laying on a pillow.

Plan of Correction: Provider removed the pillow.

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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