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Kirsten Lukas
8704 Norfolk Avenue
Annandale, VA 22003
(702) 851-2919

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: May 5, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Background check requirements for household members reaching the age of 14 years were discussed.

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 monitoring inspection was initiated and concluded on 5/5/21. The provider was contacted by telephone to initiate the inspection. There were 5 children (11 points) and 2 caregivers present. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 2 children?s records, 2 caregiver's and 1 pet's record submitted by the facility to ensure documentation was complete. A virtual walk through of the day care area was conducted to assess
the indoor space used for the children. Information gathered during the inspection determined non-compliances with applicable standards or law 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. For any questions related to this inspection, please contact me at 571-835-4718 or mahrukh.aziz@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on records review, the provider did not review emergency contact information for a child's record annually.
Evidence: The emergency contact information for Child # 1's record was last reviewed on 11/1/18.

Plan of Correction: The child was part time and returned as full time during the pandemic. The information will be updated and it will be documented.

Standard #: 22VAC40-111-180-A
Description: Based on record review and staff interview, the provider did not obtain results of a subsequent tuberculosis (TB) screening for a caregiver, every two years.
Evidence:
1. Caregiver # 1's most recent TB screening expired on 3/22/21.
2. The provider stated that Caregiver # 1 has not obtained an updated screening.

Plan of Correction: A current TB screening will be obtained from the caregiver and kept on file.

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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