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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms Niaz Hawramee
14096 Albert Way
Gainesville, VA 20155
(703) 853-9562

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: Dec. 3, 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
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed with the provider: assuring that bottles with either breast milk or formula is labeled with the child's name and the date.

An unannounced monitoring inspection was conducted beginning at 9:30 and ending at 10:30. There were 11 children in care with the provider and one assistant. The children were ages 4 months through 5 years . The older children were observed participating in table activities and the younger children were playing with age appropriate playthings on the floor and having circle time. Reviewed the files for 11 children and one new assistant. - see violation notice. Emergency escape drills and shelter in place drills are up to date. The provider does not give medication - no MAT training.If there are any questions, please contact Linda Reynolds at 540-272-2663 or

Standard #: 22VAC40-111-100-A
Description: Based on a review of 11 children's records, it was determined that 1 child, did not have a physical examination. Evidence: Child A, who has been in care sine 6/25/18 does not have a physical (well baby check) on file

Plan of Correction: The provider stated that the parent said that the pediatrician does not do a physical until 12 months. The provider will tell the parent that she needs to notify the physician that it is a requirement for any age child who is in childcare.

Standard #: 22VAC40-111-200-A
Description: Based on a review of the staff record for the Assistant, it was determined that the Assistant has notr been given Orientation Training. Evidence: Staff #1, who began work on 8/20/18 has not had orientation training documented.

Plan of Correction: The provider stated that she will get the form from the web site and complete it with the assistant.

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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