VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nahid Akhzari
506 Fairfax Lane
Herndon, VA 20170
(703) 909-7581

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: Nov. 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 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Reviewed medication forms with the Provider

Comments:

An unannounced monitoring inspection was completed today. The physical plant, 5 caregiver/household member files, 5 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected between 1:00-2:15pm. There were 7 children, totaling 16 points, under the supervision of 2 caregivers. Today, the children learned about farms and Thanksgiving, worked on craft projects, participated in circle time, ate lunch and rested at nap time. Today, the children were served macaroni and cheese,pasta with tomato sauce and cheese, carrots and peas, peaches and milk. The Provider is certified in MAT (medication administration training), CPR and First Aid. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-700-A
Description:	Based on file review, the Provider did not obtain a written authorization from a parent to administer a medication for a child in care. Evidence 1. Child #4 has an epi-pen at the FDH in case of an emergency due to food allergy. There is no written authorization from the parent, which would allow the Provider to administer the medication.
Plan of Correction:	The LI printed a medication form, which the Provider will give to the parent to have completed.
Standard #:	22VAC40-111-100-A
Description:	Based on file review, 1 out of 5 children's records does not have a physical exam within 30 days after the first day of attendance. Evidence 1. Child #5 began care on 9/16/19. There is no physical on file
Plan of Correction:	The Provider will ask the parents for this.
Standard #:	22VAC40-111-90-C
Description:	Based on file review, 2 out of 5 children's records do not have additional immunizations every six months up to the age of 2 years. Evidence 1. Child #3 is 23 months old. The most recent immunization record on file was completed when the child was 3 months old. 2. Child #5 is 2 years old. The most recent immunization record on file was completed when the child was 6 months old.
Plan of Correction:	The Provider will ask the parents for these.