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Masomeh Azadi
10249 Leesburg Pike
Vienna, VA 22182
(703) 430-0222

Current Inspector: Cynthia Ford (703) 479-4679

Inspection Date: June 24, 2015

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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
1. Grass would be an acceptable resilient surface for setting up the climbing/sliding equipment. Nap mats would not be an acceptable alternative surface. 2. Food substitutions should be noted on the posted menu daily.

Comments:
Conducted an unannounced renewal inspection. Observed 7 children + 2 children that live in the home = 23 points with the Provider. Supervision was in compliance, though ratios were not. The Provider reported that she hired an assistant caregiver approximately 2 weeks ago, and that this individual was currently away from the home to obtain a TB test. Children were napping and having indoor quiet play during the inspection. The daycare areas of the home were found to be clean, safeguarded appropriately, and well supplied with toys and equipment for the children. The Provider reported that the lunch served today included: hotdog, bread, rice, chicken, carrots, broccoli, milk, and water. This was different than the posted menu. No medications reported to be on-site. The Provider obtained the required hours of annual child development training. Required documents were posted. Inspection completed 11:35am-12:30pm.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on records reviewed, it was determined that the emergency preparedness plan had not been reviewed by the Provider annually. Evidence: According to the Provider's documentation it had last been reviewed in March 2014.

Plan of Correction: Completed

Standard #: 22VAC40-111-120-B
Description: Based on observations made, it was determined that the record for Assistant #1 did not include documentation of the following required information. Evidence: 1. Job title. 2. Date of employment. [Provider verbally reported it to be "2 weeks ago."] 3. Emergency contact information. 4. 2 reference checks. 5. Education, experience, and training. 6. TB screening. 7. Background checks.

Plan of Correction: (1) helper (2) 6/10/15 (3) in File (4) in File (5) in File (6) in File (7) I send to Police dep

Standard #: 22VAC40-111-60-B
Description: Based on children's records reviewed, it was determined that 2 of 5 records did not include the following information. Evidence: 1. Child #10 - The emergency medical authorization was left blank and not signed by the parent. 2. Child #11 - The emergency medical authorization was left blank and not signed by the parent, and the medical insurance policy number was not documented.

Plan of Correction: Completed Form's in File

Standard #: 22VAC40-111-90-C
Description: Based on children's records reviewed, it was determined that 1 record did not include current immunizations. Evidence: Child #7 - The child's date of birth is 1/30/13, and the most recent immunizations on-file were completed September 2014.

Plan of Correction: Corrected

Standard #: 22VAC40-111-200-A
Description: Based on records reviewed, it was determined that the Provider has not given Assistant #1 orientation training. Evidence: There was no documentation of the required training, and the Provider stated that she did not complete the training with Assistant #1. The assistant reportedly began working "2 weeks ago."

Plan of Correction: Form is in File

Standard #: 22VAC40-111-500-C
Description: Based on observations made, it was determined that stationary outdoor playground equipment has been placed on concrete. Evidence: 2 climbing/sliding structures have been set up on a concrete surface in the outdoor play area.

Plan of Correction: Rubber mat is ordered to be planed on the playground floor [sic]

Standard #: 22VAC40-111-570-A
Description: Based on observations made, it was determined that caregiver to child ratios were exceeded and the Provider exceeded 16 points. Evidence: For the duration of the inspection, the Provider was caring for 7 children + 2 children that live in the home = 23 points. It is not known how long the assistant caregiver was away from the home.

Plan of Correction: She was out from 11:20 to 1:00pm

Standard #: 22VAC40-191-60-B
Description: Based on records reviewed, it was determined that Assistant #1 did not have a completed Sworn Disclosure Statement on-file, and has been permitted to work with the children for approximately 2 weeks.

Plan of Correction: I compled the Forms [sic]

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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