VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Sophia Fakhry
13187 Quade Lane
Woodbridge, VA 22193
(703) 670-6269

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: March 4, 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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-80 SANCTIONS. 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 Monitoring Inspection was conducted today from 9:35am to 11:00am. There were 13 children (30 points) directly supervised by 3 caregivers. The home, 1 provider's records, 7 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 playing freely inside the play room, and participating in teacher directed activities. 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) (540)-340-2672.

Violations:

Standard #:	22VAC40-111-900-B
Description:	Based on observation, the provider did not ensure that children were not allowed to eat and drink while walking, running, playing, lying down or riding in vehicles. Evidence: Observed that Child 7 was walking, running, and playing while drinking milk from a sippy cup.
Plan of Correction:	Will make sure children sit while eating and drinking.
Standard #:	22VAC40-111-100-A
Description:	Based on review, the provider did not ensure that they obtained 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: Reviewed 7 children's records and found that Child 4 did not have documentation of a physical examination. Previously cited on 7/12/19.
Plan of Correction:	Child's last day is Friday.
Standard #:	22VAC40-111-40-A
Description:	Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: Observed that the licensed capacity of the home is 12 children, and the provider had a total of 13 children in care at the time of the visit.
Plan of Correction:	Two children are dis-enrolling, and I will remain under my licesned capacity.
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: Reviewed 7 children's records and found the following: 1) Child 7 did not have documentation of written emergency medical authorization 2) Child 7 and Child did not have documentation of medical insurance policy or policy number. 3) Child 3 did not have documentation of medical insurance policy number. 4) Child 2 did not have documentation of a second emergency contact.
Plan of Correction:	Will correct it right away. I am going to ask the parents today.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, the provider did not ensure that they had protective covers on all unused electrical outlets accessible to children under 5 years of age. Evidence: Observed that there were 3 uncovered electrical outlets accessible to children under 5 years of age.
Plan of Correction:	Corrected at the time of the visit.
Standard #:	63.2-1721.1-B-2
Description:	Based on review, the provider did not ensure that they obtained documentation of fingerprinting as required by the code of Virginia. Evidence: Reviewed the provider's records and found that they are missing documentation of submitting to and completing fingerprinting as required by the code of Virginia. Previously cited on 7/12/19.
Plan of Correction:	Will obtain documentation of fingerprinting or resubmit to fingerprinting within 10 days.