VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farzaneh Hajiaghabozorgi
5002 Wheatstone Dr.
Fairfax, VA 22032
(703) 231-4331

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: June 13, 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussed center licensing process and director requirements, application renewal process, and required assistant caregiver documentation

Comments:

An unannounced mandated monitoring inspection was conducted today from 10:30 am to 12:30pm. There were 5 children present (8 points) and 1 caregiver during this inspection. Children were observed walking with a walking toy, sliding on a slide, playing with puzzles and legos. Reviewed 3 children's files, 1 caregiver file, 2 household member files, emergency evacuation log and supplies, attendance, menus, cribs, and physical plant. Violations of the standards are recorded on the Violation Notice. Should you have any questions, please contact Georganne Buccine (georganne.buccine@dss.virginia.gov)

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on record review, provider shall did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: Child #1, Child#2 and Child#3 did not have documentation of a physical from a physician within 30 days of their first day of attendance. (Start dates Feb 2016; July 2017; April 2019)
Plan of Correction:	I will ask the parents for copies of the physicals. Child#1 last day is tomorrow.
Standard #:	22VAC40-111-60-A
Description:	Based on record review, children's record were incomplete. Evidence: 1. Child#2 and Child#3 did not have proof of the child's age and identity. 2. Child #1 and Child#2 did not have documentation of the annual review of the child's emergency contact information
Plan of Correction:	I will get the information from the paprents
Standard #:	22VAC40-111-330-A
Description:	Based on observation and interview with provider, a landline telephone is not available or accessible during the home's operating hours. Evidence: The home does not have a landline phone. Interview with Provider revelaed she only has a cell phone available.
Plan of Correction:	I will get one.