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Muna Barkhadle
7814 Seth Hampton Dr.
Alexandria, VA 22315
(571) 484-3891

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: Feb. 5, 2019

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 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
An unannounced monitoring visit was conducted today between the hours of 8:55am through 11:15am with the provider on site. There were 2 children (6 points) with the provider. A sample of 3 children's files and 4 staff/household member's files were reviewed. The children were engaged in the following: toy play, nap time, bottle feeding and listening to children's music. Interactions between the children and provider were positive. The physical space, emergency supplies, evacuation drills and attendance records were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider failed to review with the parent the emergency contact information to ensure the information is correct, and obtain the parent's signed acknowledgment of the review. Evidence: 1. Child #1 began with the provider on 4/24/2017 and did not have the parent's signature of a review of emergency contact information.

Plan of Correction: I will ask the parents to review, update and sign it.

Standard #: 22VAC40-111-800-A
Description: Based on interview, the provider was not able to locate a written emergency preparedness and response plan. Evidence: 1. The provider stated she could not locate the written emergency preparedness and response plan.

Plan of Correction: I will look for it or write up a new one.

Standard #: 22VAC40-111-70-B
Description: Based on record review, the provider did not obtain the parent's written acknowledgement of the receipt of the information regarding the liability insurance declaration. Evidence: 1. Child #2 (began 2/04/2019) and Child #3 (began 1/25/2019) did not have a parent's signature of the liability insurance declaration form in their file.

Plan of Correction: I will ask the parents to review and sign.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain from each adult household member a current Report of Tuberculosis Screening form documenting the absence of tuberculosis. 1. Household Member #1 did not have a Tuberculosis Screening form in the file documenting the absence of tuberculosis.

Plan of Correction: I will schedule an appointment for the household member.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface did not meet all requirements. Evidence: 1. The diapering surface had three small holes on the diaper pad and was not considered nonabsorbent or washable.

Plan of Correction: I will buy a new one.

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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