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Farah Akhtar
7420 Beulah Street
Alexandria, VA 22315
(703) 922-2989

Current Inspector: Nancy Radcliffe

Inspection Date: March 31, 2016

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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted today. Observed 11 children (32 points) directly supervised by 4 caregivers. Ratio and supervision were in compliance. A sample of 2 children's records and 4 caregiver records were reviewed. The physical plant, emergency supplies and procedures were also reviewed. No medications were reported to be on site. The children were engaged in various activities, to include: free play, legos, snack time, infant care, and feeding. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or anailim.dally@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-890
Description: Based upon observations made, food brought from home was not clearly labeled in a way that identifies the owner. Evidence: Four food containers were not labeled with the child's name.

Plan of Correction: I talked to mom. She started labeling now.

Standard #: 22VAC40-111-120-B
Description: Based upon documentation reviewed, caregiver records were incomplete. Evidence: Two of the two caregiver records reviewed did not contain documentation that a second reference check was done prior to employment (Caregiver #1; Date of hire (DOH) 08/25/2014, and Caregiver #2; DOH 10/31/2015).

Plan of Correction: I did not realized how it should be documented. Now 2 reference documents for each assistant has been filed.

Standard #: 22VAC40-111-90-C
Description: Based upon documentation reviewed, the provider did not obtain documentation of additional immunizations once every six months for a child under the age of two. Evidence: 1) One of the two children's records reviewed did not contain current immunizations record (Child C). 2) Child C (2 year old) last immunization record was dated 04/15/2015, and form was dated 06/26/2015.

Plan of Correction: [Name] did not get any shot when she turned 2. Mom is willing to bring the doctor note. I will update her record when she will get her shot.

Standard #: 22VAC40-111-540-A
Description: Based upon observations made, an infant carrier seat, swing, and feeding/activity chairs were not used according to the manufacturer's instructions and when occupied by children, a safety strap was not used and securely fastened. Evidence: 1) Child A (5 months) was in a swing and she/he was sitting on top of the safety strap; therefore, the safety strap was not used and securely fastened. 2) Two children were observed inside feeding/activity chairs and the safety straps were not used and securely fastened. 3) Child B (3 year old) was sitting in a car seat during snack time. Car seat are manufactured for protection during travel and not to be used as a feeding chair for children.

Plan of Correction: We start using safety stap. The car seat has been removed.

Standard #: 22VAC40-111-680-A
Description: Based upon observations made, a caregiver did not wash her hands with liquid soap and warm running water after contact with a child who vomited. Evidence: Caregiver #2 did not wash her hands after handing an infant who had just vomited.

Plan of Correction: Assistants are required to wash their hands with soap after contacting with any children body fluids. I reminded her again.

Standard #: 22VAC40-111-680-B
Description: Based upon observations made, a caregiver did not ensure that a child's hands were washed with liquid soap and warm running water after the child vomited. Evidence: Child D vomited and Caregiver #2 picked up the infant and placed the infant inside a crib.

Plan of Correction: I emphasized the rules of cleaning while taking care of children to al the staff again.

Standard #: 22VAC40-111-690-D
Description: Based upon observations made, the changing pad used for diapering is no longer nonabsorbent. Evidence: A diapering pad had a cloth diapering cover.

Plan of Correction: I removed the sheet from the changing pad.

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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