VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Huma Farrukh
15369 Tina Lane
Woodbridge, VA 22193
(703) 897-6379

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Sept. 19, 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. 22VAC40-191 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

Technical Assistance:

Discussed with the Caregiver that children under 2 years of age should not have pillows or comforters in their crib, even after going to sleep. Also discussed with the Caregiver that the changing table should not have stuffed animals or other items stored on it.

Comments:

An Unannounced Monitoring Inspection was conducted today. There were 3 children (7 points) directly supervised by 1 caregiver. The home, 2 caregiver records, 3 children's records, 3 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely inside the play room and watching television. 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 #:	22VAC40-111-760-A-1
Description:	Based on observation, the provider failed to ensure that the first aid kit contained the required minimum items. Evidence: observed that the first aid kit was missing, scissors, tweezers and thermometer.
Plan of Correction:	Corrected at the time of the visit.
Standard #:	22VAC40-111-830-A
Description:	Based on review, the provider did not ensure that they practiced monthly emergency evacuation procedures with all caregivers and children in care during all shifts that children were in care. Evidence: Reviewed the emergency evacuation drill log and found that for the current year, 2019, there was only documentation of an emergency evacuation drill conducted in May and July.
Plan of Correction:	When the Provider returns I will check with her because I believe she did the drills and we will document them. If she did not then we will do them.
Standard #:	22VAC40-111-110-B
Description:	Based on review, the provider did not ensure that the physical exam and the immunization record were signed by a licensed physician, they physician's designee or an official of a local health department. Evidence: Reviewed 3 children's records and found that Child 1 did not have a signature for the physical examination.
Plan of Correction:	I will ask the parent this afternoon to get this signed.
Standard #:	22VAC40-111-50-A
Description:	Based on review, the provider did not ensure that the attendance record was maintained for the children that were currently in care. Evidence: Reviewed the attendance record and found that provider did not maintain an attendance record for the day.
Plan of Correction:	Assitant updated the attendance during the visit.
Standard #:	22VAC40-111-60-B
Description:	Based on review, the provider did not ensure that children's records contained the required information. Evidence: Reviewed 3 children's records and found that: 1) Child 1 and 2 did not have documentation of the parent's annual review of the emergency contact information. 2) Child 2 did not have documentation of the first day of attendance. 3) Child 2 did not have documentation of a medical insurance policy number.
Plan of Correction:	I will have the parents complete that this evening.
Standard #:	22VAC40-111-90-C
Description:	Based on review, the provider did not ensure that they obtained documentation of additional immunizations once very six months for children under the age of 2. Evidence: Reviewed 3 children's records and found that Child 1 did not have documentation of additional immunizations every six months. The last documented immunization was dated 3/26/2018.
Plan of Correction:	I will check with the mother today and ask for updated immunizations.
Standard #:	22VAC40-111-180-A
Description:	Based on review, the provider did not ensure that TB screenings/tests were obtained for each caregiver and adult household member every two years from the date of the first screening or more frequently as recommended by a physician or local health department. Evidence: Reviewed the provider's records and found that the provider's last TB was dated 4/22/17; the assistant's last TB was dated 4/23/17; and Household Member 2's TB was dated 4/23/17.
Plan of Correction:	We will get these updated within the next 30 days.