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Liichi, Fatima
4801 Kenmore Avenue Apt 1308
Alexandria, VA 22304
(571) 970-6558

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Aug. 22, 2023

Complaint Related: No

Areas Reviewed:
22.1 Background Checks Code
63.2 Child abuse and neglect
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:
A Subsidy Health and Safety Inspection was conducted on 8/22/2023 from 11:54 am- 12:50pm. There were no children present during the inspection. The home, emergency supplies, and drills were inspected. Provider information and household member information was reviewed.

Information gathered determined violations with applicable code or requirements and are listed on the Violation Notice. If you have any questions regarding this inspection, please contact the inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations:
Standard #: 8VAC20-790-170-C
Description: Based on record review and interview, the vendor did not obtain a sworn statement of affirmaiton for 1 household member.

Evidence:
1. The provider stated Household member #1 began residing in the home in June 2023. Household member #1 is over the age of 18.
2. The record for Household member #1 did not contain documentation of a sworn statement of affirmation.

Plan of Correction: A sworn statement of affirmation will be completed.

Standard #: 8VAC20-790-250-D-1
Description: Based on record review, the provider did not have current certification in cardiopulmonary resuscitation (CPR).

Evidence:
The most recent documentation of cardiopulmonary resuscitation (CPR) certification expired in June 2023.

Plan of Correction: Vendor will schedule the class to obtain certification.

Standard #: 8VAC20-790-250-D-2
Description: Based on record review, the provider did not have current certification in first aid.

Evidence:
The most recent documentation of first aid certification expired in June 2023.

Plan of Correction: Vendor will schedule the class to obtain certification.

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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