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Fozia Hussain
8156 American Holly Rd
Lorton, VA 22079
(703) 505-2701

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: July 13, 2017

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 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
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:
Technical assistance today included record keeping and annual updates; the intent of documentation of dated menus to include any changes in food; back-up providers; references; written verification of proof of identification. We also discussed the fabric for blankets and sheets in cribs; ages that children can use cots; labelling food from home with name and date; and the intent of documentation of attendance for emergency situations. To get forms and a copy of the most current standards, go to www.dss.virginia.gov

Comments:
An unannounced renewal inspection took place this morning from 10: 30 - 12:45 pm. There were ten children present with the provider and two assistants for 30 points. I observed children playing with manipulative games at the table; having a "tea party," eating lunch and preparation for naptime. No children's medications were reported on-site today. Outdoor areas were not checked due to weather. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-900-A
Description: During today's inspection, a child had access to a known choking food. (uncut grapes.) Evidence: Although an assistant was cutting grapes as required, the bowl of uncut grapes was observed on the high chair accessible to the child while staff were busy with serving lunch.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-920
Description: Based on a review of the posted snack menu during today's inspection, the menu did not meet all administrative requirements.Evidence: The menu was not dated as required; and substitutions today (cucumbers instead of carrots) were written on a marker board at lunchtime, not listed in a way where they were available to parents before the food was eaten; and in a way they could be kept on file as required.

Plan of Correction: I have the same menu every week. I will list possible substitutions in advance. on the bottom of the menu.

Standard #: 22VAC40-111-120-B
Description: Based on a review of staff records today, not all required information was available today. Evidence: Assistant # 1 and # 2 did not have written documentation of their emergency contact information and documentation of education and experience.

Plan of Correction: I will print out the page for staff and they will complete it today.

Standard #: 22VAC40-111-50-A
Description: Based on a review of records, not all children present were listed on attendance today within the required time. Evidence: A check of the written record of attendance at 10:30 indicated one child present was not listed as required.

Plan of Correction: We will write down the children's names as they arrive.

Standard #: 22VAC40-111-60-B
Description: Based on a review of a sample of children's records today, not all required information was present. Evidence: There was incomplete emergency contact information and physician's information for Child #4. Although there were parents; signatures, there was no documentation indicating the presence or absence of liability insurance as required (boxes were not checked) for Child #2 and #4. There was not consistent annual updates/reviews documented of children's information as required. In two files, information was reviewed in 2014 & 2017.

Plan of Correction: I will make sure the parents fill out the entire forms but two of those children are leaving. The more recent liability form will be used, and I will go back and have some parents sign it again. We will do updates for everyone in September and more often if they have been here over a year before September.

Standard #: 22VAC40-111-170-A
Description: Based on a review of staff records today, there tuberculosis screenings present for two individuals did not document an absence of TB as required. Evidence: Although the paperwork stated that Assistant #2 had a TB screening done in 3/17, and Household Member # 1 had a screening 7/17, there was no documentation of the results of those screenings as required.

Plan of Correction: They will bring in the papers with the results from the doctor.

Standard #: 22VAC40-111-690-E
Description: During today's inspection, soiled disposable items were not disposed of in a working foot-operated trash as required. Evidence: While changing diapers, the available step-on trash was not working, leaving the assistant to use hands to open the lid.

Plan of Correction: It will be replaced.

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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