VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nafisa Rawoot
3224 9th Street South
Arlington, VA 22204
(703) 685-0055

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: May 8, 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 22VAC40-111 Transportation 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Both the provider and assistant will need to complete another hour of annual training by June 2019.

Comments:

An unannounced renewal study was conducted today. Seven children were present with two caregivers for seventeen points which is with ratios for supervision. Observed children playing outside upon arrival, playing with equipment and toys, diapering and infant care. The provider participates in the USDA food program. Lunch to be served today was a turkey sandwich, pears and milk. Space is used both on the main level, kitchen as an eating area and the basement play area. There is also a separate crib sleeping area for very young children. The household members and the caregivers have current background checks and TB documentation. Emergency preparation for drills, the first aid kit and first aid/CPR certifications are up to date. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-800-B
Description:	Based on review, the written emergency plan was not updated annually. Evidence: The plan was last updated and signed off 1/2018 and was not reviewed in January 2019.
Plan of Correction:	Updated and signed during the inspection.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, 1 of 2 children's records did not contain all required information for parents. Evidence: Child #1 was missing a signed acknowledgment of the Provision of Emergency Relocation and the home's medication policy.
Plan of Correction:	Provider will have the parent sign the required forms.
Standard #:	22VAC40-111-90-C
Description:	Based on record review, 1 of 2 children's immunization records was incomplete. Evidence: Child #2's record did not have an immunization update within 6 months as the last documented update was 8/8/2018.
Plan of Correction:	Provider will request the parent update the immunization record.
Standard #:	22VAC40-111-240-A
Description:	Based on observation, an area of the outside playground area is not maintained in a clean, safe or operable condition. Evidence: The wooden fence has a broken slat that is splintered in one spot.
Plan of Correction:	Fence will be repaired.