VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Afghani Abawi
4112 Plaza Lane
Fairfax, VA 22033
(703) 378-7583

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Jan. 13, 2020

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 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussed with provider required information for children's and caregiver records, the emergency preparedness and response plan, and location of model forms available on the dss website.

Comments:

An unannounced monitoring inspection was conducted today between the hours of 12:40 pm through 3:45 pm with the provider on site. There were 3 children (7 points) with the provider and one caregiver. A sample of 3 children's records and 2 caregiver/household member's records were reviewed. The children were engaged in the following: naptime, building with blocks, reading books, and playing with toys. The physical space, emergency supplies, evacuation drills, and attendance records were reviewed. There were no medications on site. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:

Standard #:	22VAC40-111-800-A
Description:	Based on record review and caregiver interview, the family day home did not have a written emergency preparedness and response plan. Evidence: Caregiver stated she did not have a written emergency preparedness and response plan.
Plan of Correction:	I will complete an emergency preparedness plan.
Standard #:	22VAC40-111-830-C
Description:	Based on record review, the family day home did not maintain documentation of emergency evacuation and shelter-in-place drills. Evidence: The last emergency evacuation drill documented on the provider's emergency drill log was dated 8/19/19. There is no documentation of emergency evacuation drills for September 2019, October 2019, November 2019, or December 2019. The provider's emergency drill log does not contain documentation of completed shelter in place drills.
Plan of Correction:	I will make a chart and post it so I will document the drills.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider 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 for one child. Evidence: Child #1 began attending the family day home on 10/2/17. There is no documentation of a physical examination in the record for Child #1.
Plan of Correction:	I will ask the parent for the physical.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, 3 of 3 children's records did not have all required information. Evidence: 1. The record for Child #2 did not contain the address and telephone number of the father's place of employment. 2. The record for Child #1 did not contain the name, address and telephone number for 1 of 2 designated persons to contact in case of an emergency if the parent cannot be reached. 3. The records for Child #1 and Child #3 did not contain the policy number of the child's medical insurance, 4. The record for Child #2 did not contain names of persons other than the custodial parents who are authorized to pick up the child;
Plan of Correction:	I will get the information from the parents and put it on the forms.
Standard #:	22VAC40-111-80-C
Description:	Based on record review, the provider did not document in 3 of 3 children's records, the method of verification of the child's age and identity. Evidence: 1. The records for Child #1 (first date of attendance 10/2/17), Child #2 (first date of attendance 11/13/16), and Child #3 (first date of attendance 8/16/19) did not contain documentation of the method of verification of child's age and identity.
Plan of Correction:	I will make sure I see the original and sign and date when I see it.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, not all caregivers or adult household members have documentation of a tuberculosis screening or test results completed within the last 2 years. Evidence: Caregiver stated the tuberculosis test for Household Member #1 was completed in April 2019. There is no documentation of a current tuberculosis screening or test results available for review in the record for Household Member #1.
Plan of Correction:	We will call the doctor to get a copy of the results.
Standard #:	22VAC40-111-320-G
Description:	Based on caregiver interview, documentation of the inspection and cleaning of a wood burning fireplace was not maintained by the provider. Evidence: Documentation of an inspection and cleaning of a wood burning fireplace was not available for review during inspection. Caregiver stated an inspection and cleaning of the fireplace occurred in April 2019. Caregiver reported documentation of the cleaning and inspection was not provided.
Plan of Correction:	I will find someone else to clean and inspect it.