VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Kaylin Khan
6585 Davis Ford Road
Manassas, VA 20111
(703) 869-1680

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: Feb. 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 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

An Unannounced Renewal Inspection was conducted today from 8:43 to 10:50am. There were 13 children (27 points) directly supervised by 3 staff. The home, 3 staff records, 9 child's records, 1 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed participating in the morning work session, and interacting with other children and caregivers. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) or (540) 340-2672.

Violations:

Standard #:	22VAC40-111-830-C
Description:	Based on review, the provider did not ensure that there was documentation of monthly emergency evacuation drills. Evidence: Reviewed the emergency evacuation drill log and found that there was nothing documented since August 30, 2019. Previously cited on 8/30/19.
Plan of Correction:	Will do that today.
Standard #:	22VAC40-111-940-A
Description:	Based on observation, the provider did not ensure that the freezer compartments was maintained at or below 0 degrees Fahrenheit. Evidence: Observed that the freezer thermometer was reading at 5 degrees.
Plan of Correction:	I can do that today.
Standard #:	22VAC40-111-100-B
Description:	Based on review, the provider did not ensure that when children's physical examinations occur prior to attendance, that they have been conducted by the schedule listed. Evidence: Reviewed 9 children's records and found that Child 9 did not have documentation of a physical examination within 12 months prior to attendance.
Plan of Correction:	Will get that next month.
Standard #:	22VAC40-111-60-B
Description:	Based on review, the provider did not ensure that children's records were maintained with the required information. Evidence: Child 8 did not have documentation of a parent's work phone number.
Plan of Correction:	Will talk to parent
Standard #:	22VAC40-111-180-A
Description:	Based on review, the provider did not ensure that they obtained for each caregiver and adult household member a current report of TB screening every two years from the date of the first screening or more frequently as recommended by a physician. Evidence: Reviewed the provider's records and found that Staff 2 and Household Member 1 did not have documentation of a current TB screening within the last 2 years. Previously cited on 8/30/19.
Plan of Correction:	Will get those by the end of March.
Standard #:	22VAC40-111-210-A
Description:	Based on review, the provider did not ensure that she had documentation of 16 hours of annual training in areas relevant to their job responsibilities. Evidence: Reviewed 3 caregiver records and found that Staff 1 did not have documentation of 16 hours of annual training.
Plan of Correction:	Will complete by the end of March.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, the provider did not ensure that all unused electrical outlets have protective covers. Evidence: Observed 1 uncovered outlet in the mud room, 2 near the fireplace and backyard door, and 1 in the nap room. Previously cited on 8/30/19
Plan of Correction:	Corrected at the time of the visit.
Standard #:	22VAC40-111-500-C
Description:	Based on observation, the provider did not ensure that stationary outdoor playground equipment is firmly anchored with ground supports that are covered with materials to protect children from injury. Evidence: 1) Observed that wooden plants that support the provider's outdoor equipment's structure was exposed and were not covered to protect children from injury. 2) Observed that the provider's outdoor play structure had less than inches of resilient material over the ground, short of the Consumer Product Safety Commission's 6 inch recommendation.
Plan of Correction:	Will correct by the end of March.