VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Roina Mustafa
7702 Tanner Robert Court
Springfield, VA 22153
(703) 569-4084

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Nov. 6, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Facilities and Programs

Technical Assistance:

Discussed naptime cots and linens.

Comments:

An unannounced renewal inspection was conducted today from 10:25am-12:30pm. There were 12 children (35 points) supervised by 3 direct care staff. The home, 3 staff records, 8 children?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed coloring, playing with playdough, playing in home living, eating lunch, and engaging freely. Lunch served was chicken nuggets, cucumbers, apple slices, and milk. There was a sufficient amount of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-960-E
Description:	Based on observation, 2 of 4 children's bottles were not labeled with the child's full name and date. Evidence: Child #4's (5 months old), and Child#12's (5 months old) bottles were not labeled with the children's names and date.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 3 of 8 children's records did not include documentation of all required information. Evidence: 1. Child #9's (3 years old) and Child #12's (5 months old) records did not include documentation of a physical form completed by a physician. 2. Child #11's (2 years old) record did not include documentation of the medical insurance policy number.
Plan of Correction:	I will get the policy number today, and will have the parents bring the missing physicals by next week.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, 1 of 3 caregiver records did not include documentation of a current report of TB screening every two years from the date of the first screening. Evidence: Caregiver C's most recent TB screening was dated 8/31/2017 (expired: 8/31/2019).
Plan of Correction:	We will have the TB test completed by next week.