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Mr. Elias Rahman
13259 Fallen Leaf Court
Woodbridge, VA 22192
(703) 973-9061

Current Inspector: Lorraine Hancock (540) 272-9214

Inspection Date: July 19, 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
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.

Technical Assistance:
Required background checks and training required for hiring an assistant

Comments:
An unannounced renewal inspection was conducted with provider and assistant. There were two children present totalling six points with one caregiver upon arrival. A second caregiver arrived shortly after. Two children's files were reviewed - please see Supplemental Summary for missing items. The children were having rest time and then outdoor play. There are many age appropriate toys and materials available for children. Time of today's inspection: 1:30 p.m. to 3:00 p.m. Please feel free to contact me if you have any questions 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review of the first aid kit, the provider failed to have all of the components required in the kit. Evidence: there were no triangular bandages in the first aid kit.

Plan of Correction: Provider will make or purchase two triangular bandages.

Standard #: 22VAC40-111-800-A
Description: Based on review of the emergency preparedness plan, the provider failed to have a completed plan with all required information. Evidence: the written emergency preparedness plan did not include the name, phone number, and address of the emergency back up person, the designated meeting point for relocation, or the designated meeting point for shelter in place.

Plan of Correction: Provider will complete the plan and will share with the parents.

Standard #: 22VAC40-111-100-A
Description: Based on review of two children's records, the provider failed to have documentation of a physical on file for each child. Evidence: Child B (date of enrollment 4/6/2016) did not have documentation of a physical on file.

Plan of Correction: Provider will request the information from the parent.

Standard #: 22VAC40-111-60-B
Description: Based on review of two children's files, the provider failed to have all of the information required for the file. Evidence: Child A did not have the name, address, and phone number of two emergency contacts (other than the parents), the date of enrollment, or written authorization for the provider to obtain medical care in case of an emergency for the child.

Plan of Correction: Provider texted the parent to request that the missing information be provided today.

Standard #: 22VAC40-111-70-A
Description: Based on review of two children's records, the provider failed to provide to each parent in writing all required information. Evidence: Child A (enrolled end of May 2016) did not have documentation of the VDSS forms, or an equivalent, titled "Information for Parents", "Policy of Administration of Medication", "Liability Insurance Declaration", or "Provisions of the Emergency Preparedness Plan". Child B did not have the VDSS form titled "Provisions of the Emergency Preparedness Plan" on file.

Plan of Correction: Provider has provided the forms to the parent, but has not received them back signed yet. Provider texted the parents to request the information.

Standard #: 63.2-1809-C
Description: Based on review of two children's records, the provider failed to document having viewed the proof of identity for each child. Evidence: there was no documentation of proof of identity for Child A (enrolled end of May 2016) within seven business days of attendance. The provider did not notify local law enforcement of failure to obtain the requested information.

Plan of Correction: Provider will request the information from parent again.

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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