VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Rana Khan
18519 Kerill Road
Triangle, VA 22172
(571) 435-3272

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: April 20, 2021

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 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on 4/20/21 and concluded on 4/21/21. The provider was contacted by telephone to initiate the inspection. There were three children present with the provider who reported that three more children would arrive from school in the afternoon. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed two children?s records, the provider's record, an assistant's record, and three household member records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. If you have questions regarding this inspection you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@dss.virginia.gov or 540-905-2062.

Violations:

Standard #:	22VAC40-111-700-A
Description:	Based on review of documentation and interview with the provider, the provider did not obtain written authorization from a parent to administer a medication. Evidence: Child B had emergency medication on site for food allergies, but there was no written authorization from the parent for the provider to administer the medication.
Plan of Correction:	The form was completed by the parent and the doctor today and submitted to the inspector.
Standard #:	22VAC40-111-710
Description:	Based on review of medication and interview with the provider, the provider did not ensure that drugs that were dispensed from a pharmacy were maintained in the original, labeled container. Evidence: The emergency medication (Epi-Pen) on site for Child B was not in the original container with prescription label.
Plan of Correction:	I reached out to the parent during the inspection and they said they will provide the box with prescription label when they pick up the child today.
Standard #:	22VAC40-111-60-B
Description:	Based on review of two children's records, the provider did not obtain all required documentation for each child's record. Evidence: The record for Child A did not contain the name, address and telephone number of a second designated person to contact in case of emergency if the parent cannot be reached.
Plan of Correction:	I have requested this from the parents but they say they do not have a second emergency contact in the area. I will discuss with them again.