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Fatemeh Ranjbarkohan
745 Bonnie Ridge Drive, NE.
Leesburg, VA 20176
(703) 729-0899

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: April 16, 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 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, and a request for a modification to increase the capacity to 12. Documentation from the Town of Leesburg on the approval of a special exception to increase the capacity was provided.

Comments:
The following inspection took place between the hours of 10 am through 1 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Leesburg, Virginia. At the start of this unannounced monitoring inspection there were a total of 5 children (13 points) with 1 caregiver. A total of 7 children?s files, and 2 staff files were reviewed. The children were engaged in the following: toy play, center play within the childcare area, music, song, bathroom breaks, hand washing, lunch time, nap time, and other organized activities. If you should have any future questions, please call or send an e-mail. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review, 4 of 7 children's files reviewed indicated that the Provider did not annually review with the parent the emergency contact information (required in 22 VAC 40-111-60 B 2) to ensure the information was correct, and obtained the parent's signed acknowledgment of this review. Evidence - 1. On the date of inspection (04/16/2019), the following children did not have a current signed acknowledgement of a review on file: Child #2, Child #3, Child #4, and Child #5. 2. The following were the most recent dates or review on file: 01/04/2018 (for Child #2), 01/04/2018 (for Child #3), 04/13/2018 (for Child #4), and 03/14/2018 (for Child #5).

Plan of Correction: All applicable information shall be reviewed and a signed acknowledgement shall be recorded within that file.

Standard #: 22VAC40-111-90-C
Description: Based on review, 3 of 7 children's files reviewed indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for children who were not exempt from the immunization requirements according to subsection B of this section once every six months for children under the age of two years. Evidence - 1. On the date of inspection (04/16/2019), the most recent immunization page on file for the following children was older than 6 months: Child #1 (immunization page dated - 06/19/2018), Child #4 (immunization page dated - 08/13/2018), and Child #6 (immunization page dated - 06/13/2018). 2. Based on their file, Child #1, Child #4, and Child #6 were all under the age of two years on the date of inspection.

Plan of Correction: Updated immunization pages shall be obtained for all applicable children.

Standard #: 22VAC40-111-180-A
Description: Based on review, 1 of 2 staff/household files reviewed indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 22 VAC 40-111-170) every two years. Evidence - 1. On the date of inspection (04/16/2019), Staff #1 TB documentation on file was dated - 01/19/2017. 2. The Provider confirmed this review on the date of inspection.

Plan of Correction: Updated TB documentation shall be obtained and placed on file for Staff #1.

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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