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Kristine Kim
3612 West Ox Road
Fairfax, VA 22033
(703) 508-4965

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-150-D-1
Description: Based on a review of staff records today, Staff # 3 had a certificate from a CPR class that doesn't meet the licensing standards. The certificate said that she completed the written test, but the physical skills test is also required for proper certification.

Plan of Correction: She will take another class.

Standard #: 22VAC40-111-230-B
Description: Based on a review of training certificates today, not all staff took the required 16 hours of training this year.
Evidence:
Although in past years the provider and assistants exceeded training recommendations, this past year there were less that 16 hours of training for Assistant # 1 and 2.

Plan of Correction: They are scheduled to go next week for two days, and we will all do more online training.

Standard #: 63.2-1720.1-B-2
Description: Based on a review of records during today's inspection, there were no results of fingerprints as required for one household member.
Evidence:
Household Member # 2 turned 18 years old in September, but there are no results from fingerpints available.

Plan of Correction: She will do this as soon as possible.

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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