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Mozhgan "Lisa" Hessavi
2311 Colts Brook Drive
Reston, VA 20191
(571) 247-5112

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: Aug. 15, 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
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:
Discussed required distance between occupied cribs, and monitoring of each sleeping infant.

Comments:
An unannounced monitoring inspection was conducted today from 10:30am-1:00pm. There were 9 children (27 points) directly supervised by 3 staff. The home, 3 staff records, 5 children?s records, 4 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, doing crafts, practicing letters by using a cut out of the letter A to make an alligator head, and eating lunch. There was an abundant supply of books, toys, and materials for the children. Areas of non-compliance are identified on the Violation Notice. This violation notice has been revised.

If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of children's records, 1 of 5 children did not have documentation of a physical examination within 30 days of the child's first day of attendance. Evidence: Child#5's record does not contain documentation of a physical examination, the child's first day of attendance was documented as 6/18/2018.

Plan of Correction: We already requested one.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the provider did not maintain complete staff records. Evidence: The files of Staff#1 and staff#2 are missing reference documentation. Two reference checks are required before the first day of employment.

Plan of Correction: We will get references.

Standard #: 22VAC40-111-50-A
Description: Based on record review, there was no documentation of a written record of children's daily attendance. Evidence: A record of today's attendance was available during the inspection, but a record of daily attendance was missing for the week of 8/06/2018 - 8/10/2018, for 8/13/2018 and for 8/14/2018.

Plan of Correction: I will write the children's attendance every day.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were incomplete. Evidence: Child#2's record is missing 1 of 2 required emergency contacts.

Plan of Correction: We will ask them to give me a second emergency contact today.

Standard #: 22VAC40-111-70-A
Description: Based on review of children's records, the provider does not have documentation that parents were provided in writing required information before the child's first day of attendance. Evidence: Child#5's record is missing the family day home's policies for the administration of medication.

Plan of Correction: We will give them a copy of the form and have them sign.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas and furnishing of the family day home were not maintained in a safe and operable condition. Evidence: In the programming area the plastic lining covering the refrigerator door is peeling off, because the refrigerator is located in an area accessible to children, it could become a chocking hazard.

Plan of Correction: We added tape but we'll look for a more permanent solution.

Standard #: 22VAC40-111-540-A
Description: Based on observation, it was determined that not all children occupying the feeding table were securely fastened with the safety strap.

Evidence:
Four of five children seating at the infant feeding table were not using the chair's safety straps. The staff member did not secure children as they were placed in the chairs, and she walked away from the table for approximately 1 to 2 minutes to mix paint for an art activity.

Plan of Correction: We will make sure that straps are used at all times.

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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