VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farzaneh Hajiaghabozorgi
5002 Wheatstone Dr.
Fairfax, VA 22032
(703) 231-4331

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Oct. 3, 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

Comments:

An unannounced mandated Renewal inspection was conducted today. There were 5 children present (16 points) with 2 caregivers. Children were observed having lunch, washing hands, and playing with a variety of manipulative toys. Reviewed 2 children's files, 2 assistants' files, 3 resident files, menu, attendance, emergency evacuation log and supplies, and physical plant. Violations of the Standards are recorded on the Violation notice. Should you have any questions regarding this inspection, please contact Georganne Buccine (georganne.buccine@dss.virginia.gov)

Violations:

Standard #:	22VAC40-111-920
Description:	Based on observation, the menu for the current one week period did not reflect meals and snacks provided by the family day care home. Evidence: The menu for the current day stated meat, vegetable and grain- children were observed eating a pizza, black beans, lettuce and milk.
Plan of Correction:	I will update my menu
Standard #:	22VAC40-111-120-A
Description:	Based on record review, Assistant caregivers' records did not contain the required information. Evidence: Assistant#1 and Assistant#2 were missing Hire date, Address, Verification of age, Emergency Contact address and phone, 2 references prior to hire, documentation of education and training.
Plan of Correction:	I will get the paperwork
Standard #:	22VAC40-111-60-B
Description:	Based on record review, child's records did not contain required information. Evidence: 1. Child#1 and Child#2 did not have documentation of parents' work addresses. 2. Child#1 (9 months) did not have permission to administer topical non-prescription skin products. Provider stated the child has diaper cream, and it's administered once today.
Plan of Correction:	I will ask the parents for the information.
Standard #:	22VAC40-111-200-A
Description:	Based on record review and interview with provider, the provider did not orient the assistants by the end of their first week of assuming the job. Evidence: Assistant#1 and Assistant#2 did not have documentation of orientation. Provider stated their start dates were 7/19 for Assistant #1 and in 2015 for Assistant#2.
Plan of Correction:	I will train them on my policies