VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Noor Arman
8970 Hooes Road
Lorton, VA 22079
(703) 843-5759

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: May 14, 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 22VAC40-111 Nighttime Care 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Technical assistance was provided regarding the paperwork that is needed for the parents for regarding your policies and procedures. Referred provider to DSS website for sample forms for staff and children's records.

Comments:

An announced Initial inspection was conducted today from 10:00am to 1:00pm. There were no children present today. Provider and the three household members records were reviewed. The home was supplied with ample toys and programming equipment appropriate for the children of various ages. Adequate space determined for the requested capacity of 7 children. Provider does not plan on administering medications. Emergency procedures, provider contract, First Aid/CPR certification was verified. Three cribs found on site and meet the CPSC requirements. Violations found today during this inspection were reviewed with provider and an appropriate corrective action was provided. Please feel free to email me with any questions or concerns at: nancy.radcliffe@dss.virginia.gov or call 703-268-3728. Thank you for your time and cooperation.

Violations:

Standard #:	22VAC40-111-760-A-1
Description:	Based on review of the first aid kit, it is not complete. Evidence: The first aid kit is missing: tweezers, adhesive tape, digital thermometer and a manual.
Plan of Correction:	I will purchase a complete first aid kit and ensure all required items are in it.
Standard #:	22VAC40-111-770
Description:	Based on review of emergency supplies, items required are not in working order. Evidence: There are no batteries available for the flashlight and radio.
Plan of Correction:	I will get batteries and have them in the emergency box.
Standard #:	22VAC40-111-30-B
Description:	Based on interview with provider, there are no written policies for review.
Plan of Correction:	I will write my polices and have them for review next visit.
Standard #:	22VAC40-111-430-B
Description:	Based on review of home, there is a pressure mounted gate being used as a protective barrier by the stairs. Evidence: A pressure mounted gate is being used as a protective barrier by the stairs.
Plan of Correction:	We are planning on permanently mounting the gate on the post at the bottom of the stairs.
Standard #:	63.2-1721.1-B-1
Description:	Based on review of 4 household members records, 2 are incomplete. Evidence: Household member #1 and 2 do not have documentation of a Sworn Statement for review.
Plan of Correction:	I will have them complete and sign a Sworn Statement.