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Sumy Shah
3606 Paul Street
Alexandria, VA 22311
(703) 933-1931

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on a review, 4 of 4 children's records reviewed did not have all required documentation.

Evidence:
1. Child #1's record did not contain documentation of the doctor's address or names of persons other than the custodial parents who are authorized to pick up the child.
2. Child #2, #3 and #4's records did not contain documentation of the name 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.

Standard #: 22VAC40-111-70-A
Description: Based on a review, 4 of 4 children's files reviewed did not have all of the required documentation within each child's file.

Evidence:
1. Child #1, #2 ,#3 and #4 did not have a signed Policy for the Administration of Medication for the Family Day Home.
2. Child #1, #2, #3 and #4 did not have a signed review of the Family Day Home's Liability Insurance Declaration form based on 63.2-1809.1 of the Code of Virginia.

Plan of Correction: Missing documentation will be completed and signed and placed in children's records.

Disclaimer:

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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