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Farhana Ahmed
3120 South 13th Street
Arlington, VA 22204
(703) 271-0139

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: Jan. 21, 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 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
All caregivers need to complete the required 16.0 hours of annual training by 2/6/2020.

An unannounced renewal inspection was conducted today from 3:00-4:15. 5 children were in care (18 points) with two caregivers which is within ratios for supervision. Children were observed transitioning from an afternoon nap, free play and interactions with caregivers. reviewed two children's records, all caregivers and household members, emergency preparation, care of children, physical space and nutrition. Lunch served today was chicken nuggets, spinach and rice. Additional training hours can be obtained from the VA DSS webiste under the Professional Training and Development tab. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me.
Thank you
Ann Dramstad
Licensing Inspector

Standard #: 22VAC40-111-830-C
Description: Based on the emergency drill log, documentation of shelter-in place drills were not recorded.
The provider stated that two shelter-in place drills had been conducted in 2019 but were not recorded on her emergency log.

Plan of Correction: Moving forward, drills will be written down on the 2020 log.

Standard #: 22VAC40-111-960-E
Description: Based on observation, infant bottles were not clearly labeled.
Two bottles were missing name and date.

Plan of Correction: The provider will make sure the parent labels the bottles daily.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 2 children's records was incomplete.
Child #1 was missing allergy documentation.

Plan of Correction: Provider will have the parent complete the form.

Standard #: 22VAC40-111-70-A
Description: Based on record review, 2 of 2 records did not contain all required Information for Parents acknowledgements.
1. Child #1 was missing the signed liability form, the back page and signature of the Information For Parents form and the signed back page of the Authorization to Administer Medication form.
2. Child #2 was missing the signed liability form, the Information for Parents page was missing a parent signature and the Medication Authorization form was missing the parent and provider signature.

Plan of Correction: Parent completed work

Standard #: 22VAC40-111-320-B
Description: Based on observation, an outlet cover was not installed on an unused outlet in the hallway.
The unused outlet in the hallway coming out of the bedroom was missing a protective cover.

Plan of Correction: Replaced during the inspection.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review, a household member (HHM) does not have a protective service central registry check within 30 days of 14th birthday.
HHM #1 is missing a CPS check letter verifying the central registry check was completed.

Plan of Correction: A follow up call was done to request letter.


A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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