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Birktawet Hager
43057 Battery Point Place
Leesburg, VA 20176
(703) 587-2990

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Sept. 20, 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 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 the expiration dates for the check of the central registry and sworn disclosure statement; these checks that were previously good for three years and now good for five years. All background checks on site have been reviewed and are current.

Comments:
The following inspection took place between the hours of 9 am through 12:30 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in the town of Leesburg, Virginia. At the start of this unannounced renewal inspection there were a total of 11 children (28 points) with 3 caregivers. A total of 5 children?s files, 3 staff files, and 3 household member?s files were reviewed. The children were engaged in the following: toy play, games, large motor skills play outside on playground, bathroom breaks, hand washing, lunch, 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 #: 22VAC40-111-90-C
Description: Based on review, 2 of 5 children files 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 (09/20/2019), the following children had immunization pages that were outdated: Child #6 and Child #7.
2. The current immunization page of file for Child #6 was dated - 09/14/2018. The current immunization page of file for Child #7 was dated - 02/04/2019.

Plan of Correction: Parents shall be contacted and an updated immunization page shall be obtained and placed on file.

Standard #: 22VAC40-111-180-A
Description: Based on review, 1 of 3 household members files indicated that the Provider did not obtain for each adult household member a current Report of Tuberculosis (TB) Screening form (in accordance with the requirements in 22 VAC 40-111-170), every two years from the date of the current documentation on file.

Evidence -
1. On the date of inspection (09/20/2019), the most current TB documentation on file for Household Member #1 was dated - 03/29/2017.
2. This was confirmed on the date of inspection by the Provider.

Plan of Correction: Current TB documentation shall be obtained and placed on file.

Standard #: 22VAC40-111-210-A
Description: Based on review and interview, 3 of 3 staff files indicated that caregivers did not obtain a minimum of sixteen (16) clock hours of training annually in areas relevant to their job responsibilities.

Evidence -
1. The Provider stated (during an interview conducted on the date of inspection) that staff did not complete a total of 16 hours of annual training.
2. Documentation on site indicated that Staff #1 completed a total of 8 hours on annual training, Staff #2 completed a total of 12 hours of annual training, and Staff #3 completed a total of 12 hours of annual training.

Plan of Correction: All staff shall complete a total of 16 hours of annual training running from September to the following September of each year.

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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