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

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date:

Complaint Related: No

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.

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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