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Ms. Kaylin Khan
6585 Davis Ford Road
Manassas, VA 20111
(703) 869-1680

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: Aug. 30, 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
22VAC40-80 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 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An Unannounced Monitoring Inspection was conducted on Augsut 30, 2019 from 9:45am to 11:20am. There were 8 children (12 points) directly supervised by 3 staff. The home, 3 staff records, 10 child's records, 1 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely outside and inside the play room. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector, Keesha Minor: (keesha.minor@dss.virginia.gov) (540)-340-2672.

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on review, the provider failed to ensure that documentation of emergency evacuation drills was maintained. Evidence: Reviewed the emergency evacuation drill log and found that there was no documentation of drills conducted in May, June or July.

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-111-940-A
Description: Based on observation, the provider failed to ensure that the temperature of the refrigerator was maintained at or below 40 degrees Fahrenheit. Evidence: Observed that the temperature for the refrigerator was holding steady between approximately 47-49 degrees Fahrenheit.

Plan of Correction: Will correct today.

Standard #: 22VAC40-111-100-A
Description: Based on review, the provider failed to ensure that they obtained documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Reviewed 10 children's records and found that Child 2 did not have documentation of a physical exam.

Plan of Correction: Child just went to the doctor and will have that form within 2 weeks.

Standard #: 22VAC40-111-60-B
Description: Based on review, the provider failed to ensure that children's records were maintained with the required information. Evidence: Reviewed 10 children's records and found the following: 1) Child 1 did not have documentation of emergency medical authorization 2) Child 6 and 8 did not have documentation of the parents annual review of the child's emergency contact information. 3) Child 9 did not have documentation of the provider's medication policy, provider information, or emergency plan.

Plan of Correction: Will be corrected in two weeks.

Standard #: 22VAC40-111-140-B-3
Description: Based on review and staff interviews, the provider failed to ensure that they or any of the assistants on site had current CPR training. Evidence: Reviewed the provider and 2 assistants records and found that none of the caregivers had current CPR training.

Plan of Correction: Will have the classes completed within 30 days.

Standard #: 22VAC40-111-140-B-4
Description: Based on review and staff interviews, the provider failed to ensure that they or any of the assistants had current First Aid training. Evidence: Reviewed the provider and 2 assistants records and found that none of the caregivers on site had current first aid training.

Plan of Correction: Will have the classes completed within 30 days.

Standard #: 22VAC40-111-180-A
Description: Based on review, the provider failed to ensure that they obtained for each caregiver and adult household member a current TB screening and a subsequent check every two years from the date of the first screening.

Plan of Correction: Will obtain one within 30 days.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that there were protective covers installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Observed an uncovered electrical outlet near the dramatic play equipment and another in the nap room.

Plan of Correction: Corrected at the time of the visit.

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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