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Humaira Shadan
6437 Windham Ave.
Alexandria, VA 22315
(703) 798-5285

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: Feb. 12, 2020

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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Facilities and Programs

Comments:
An unannounced renewal inspection was conducted today from 12:10pm-2:15pm. There were 3 children (12 points) directly supervised by the provider. The home, 1 staff record, 3 children?s records, 5 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely, listening to music and being bottle fed. There was an adequate supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified on the Violation Notice.

If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records did not contain all the required information.

Evidence:
Child#2's record is missing the parents' work phone number.

Plan of Correction: We will ask the parents for the missing information.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the provider did obtain additional immunization records once every six months for children under the age of two years.

Evidence:
Child#3's record contains immunization documentation that was last updated on 8/1/2019.

Plan of Correction: I will request an updated record of immunizations.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.

Evidence:
HH#1's record contains documentation of a tuberculosis (TB) test/screening record that was last updated on 8/30/2017. The records of HH#3 and HH#4 contain documentation of TB test/screening records that were last updated on 7/26/2017.

Plan of Correction: We will updated all TB documentation.

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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