VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farhana Ahmed
3120 South 13th Street
Arlington, VA 22204
(703) 271-0139

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: Jan. 25, 2019

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 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Consultation was given on training hours needed per year (licensure year Feb-Feb) for all caregivers. Training hours can be obtained from on-line and the County.

Comments:

An unannounced renewal study was conducted from 10:15-12:10. Six children were present with two caregivers for twenty four points which is within ratios for supervision. Children were observed transitioning from rest time, free play, diapering, hand washing and lunch time. Reviewed a sample of records for children, all caregivers and household member. Emergency preparation for drills and plan as well as supplies was reviewed. Please submit renewal application, staff information form and fee prior to expiration. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-800-B
Description:	Based on observation, the written emergency plan has not been updated annually. Evidence: The plan was last updated 1/2017.
Plan of Correction:	Provider completed during the inspection.
Standard #:	22VAC40-111-890
Description:	Based on observation, food containers from home are not properly labeled. Evidence: 2 children's bottles were not labeled to identify the owner as well as applesauce containers and a pouch.
Plan of Correction:	I will ask the parents to write the child's name on the bottles and food.
Standard #:	22VAC40-111-50-A
Description:	Based on observation, written attendance is not maintained daily. Evidence: Attendance was not documented for 1/23 and 1/24.
Plan of Correction:	Provider will write down the name of each child present as they come into the family day home.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 3 of 3 children's records are incomplete: Child #1 is missing documentation of allergies/special needs, a complete medical authorization for the child-was missing provider's name and proof of identity. Child #2 was missing date of enrollment and the date and signature of when the proof of identity was viewed. Child #3 was missing the date and signature of when the proof of identity was viewed.
Plan of Correction:	Will complete all required paperwork
Standard #:	22VAC40-111-90-A
Description:	Based on record review, 1 of 3 children did not have documentation of immunizations prior to attending the day care. Evidence: Child #3 was missing an immunization record (date of attendance 1/2/2019)
Plan of Correction:	Mom will bring immunization record.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, a household member does not have a current TB screening. Evidence: Household Member #1's TB documentation was 5/4/2016 and has not obtained a new one within two years.
Plan of Correction:	A doctor appointment is scheduled for 1/29/2019.
Standard #:	22VAC40-111-210-A
Description:
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-690-D
Description:	Based on observation, the diapering surface was not disinfected after use. Evidence: The caregiver changed the diaper of one child but did not clean it with a disinfect spray after use.
Plan of Correction:	After the Inspector reminded the provider she followed up with the cleaner.