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Zohra Qasimyar
46412 Springwood Ct
Sterling, VA 20165
(571) 274-1838

Current Inspector: Sarah Zirzow (703) 479-4675

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on record review, shelter-in-place procedures were not practiced a minimum of twice per year.

Evidence:
1. A shelter-in-place drill was practiced in August 2020. A second shelter-in-place drill was not practiced in 2020.

Plan of Correction: We will do a shelter-in-place drill this week. We will make sure we do two drills every year.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 2 children's records did not contain all required information.

Evidence:
1. The record for Child #1 did not contain the policy number of the child's medical insurance.

Plan of Correction: I will ask the parent for the information today.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review and interview, a person living in the home did not complete a sworn statement or affirmation when the person in the home became 18 years old.


Evidence:
1. Household Member #1 became 18 years old on 12/18/2020. The record for Household Member #1 did not contain a sworn statement.
2. The provider acknowledged that Household Member #1 has not completed a sworn statement.

Plan of Correction: Corrected during inspection.

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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