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Ms. Lina Kobrosli
5724 Macintosh Loop
Haymarket, VA 20169
(571) 435-5035

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: Jan. 16, 2018

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 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
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:
Consultation provided on using bleach water solution as the sanitizing agent ( 1 TBSP per Gallon) Consultation provided on standards 690D2 ( non absorbent diapering surface) and 690E ( disposing of soiled diapers in a foot operated container).

Comments:
An unannounced renewal study was conducted today with the provider, who was present with an assistant and eight children for a total of 23 points. The children had finished lunch ( lentil soup with rice, carrots, onions and potatoes and milk) and were enjoying some free time before nap time. Five children's files were reviewed today as well as the three household members and the assistant's files. No child had medication on site. There have been no injuries/accidents. The provider's first aid/CPR is through American Safety and Health Institute (ASHI) and is due to expire on 8/22/18 and the assistant's first aid/CPR is through ASHI and is due to expire on 11/20/19. Arrival time: 11:45 am Departure time: 1: 20 pm

Violations:
Standard #: 22VAC40-111-690-D
Description: Based on observation and interview, it was determined that the diapering surface was not sanitized after each use. Evidence: Several diapers were changed today and the diapering surface was not sanitized afterward as the spray bottle of the sanitizing agent ( bleach water solution) had broken the end of last week and had not been replaced.

Plan of Correction: We made up a fresh batch of bleach water solution and placed the spray bottle near the diapering surface.

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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