VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Zeinab Salem
305 Jade Court, NW
Vienna, VA 22180
(703) 762-6595

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date:

Complaint Related: No

Violations:

Standard #:	22VAC40-111-780-B
Description:	Based on review, 1 of 9 children files indicated that annually, the Provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information was correct, and obtained the parent's signed acknowledgment of the review. Evidence - 1. On the date of inspection (12/17/2019), the most recent documented review for Child #3 was dated 11/13/2018. 2. This documentation was observed on file within the FDH.
Plan of Correction:	This documentation shall be reviewed, (if needed) updated, and signed by the parent as verification of this review.
Standard #:	22VAC40-111-100-A
Description:	Based on review, 1 of 9 children files indicated that the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (12/17/2019), documentation of a physical was not available for review for Child #2. 2. The start date for Child #2 was listed as 10/21/2019.
Plan of Correction:	The parent of this child shall be contacted and the missing documentation shall be obtained and placed on file.
Standard #:	22VAC40-111-60-B
Description:	Based on review, 1 of 9 children files indicated that not all of the required information was contain within each child's record. Evidence - 1. On the date of inspection (12/17/2019), the policy number for the medical insurance listed for Child #9 was not available for review. 2. The start date for Child #9 was listed as 11/04/2018.
Plan of Correction:	The parent of this child shall be contacted and the missing information shall be placed on file.
Standard #:	22VAC40-111-90-C
Description:	Based on review, 1 of 9 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (12/17/2019), the most current immunization page on file for Child #6 was dated - 06/05/2019. 2. Based on the information on file, on the date of inspection, Child #6 was under the age of two years.
Plan of Correction:	The parent of this child shall be contacted and the updated documentation shall be obtained and placed on file.
Standard #:	63.2-1721.1-E
Description:	Based on review and interview, 1 of 3 staff files indicated that a staff person was observed involved in the day-to-day operations of the Family Day Home (FDH), and was alone with, in control of, or supervising one or more children, without first having completed the required background check. Evidence - 1. On the date of inspection (12/17/2019), Staff #3 was without an Eligibility Letter on file within the FDH. The start date for Staff #3 was listed as 09/03/2019. 2. Staff #3 was observed today working within the FDH and supervising the children. At times, by herself with 3 infants. 3. The Provider stated (during an interview conducted on the date of inspection) that the fingerprint check has not yet been conducted for Staff #3.
Plan of Correction:	Staff #3 will cease employment until a satisfactory fingerprint check (eligibility letter) has been obtained. An appointment for this check shall be scheduled today and verification of this appointment shall be sent to the Licensing Inspector. This letter shall then be reviewed by the Licensing Inspector. In the future, no staff shall start their employment until the eligibility letter is already in house and on file.