VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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 22VAC40-80 THE LICENSE. 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.

Comments:

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 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-830-C
Description:	Based on the emergency drill log, documentation of shelter-in place drills were not recorded. Evidence: 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. Evidence: 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. Evidence: 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. Evidence: 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. Evidence: 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. Evidence: 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.