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Uzma Khan
3102 Furman Lane
Apt. #203
Alexandria, VA 22306
(571) 289-5979

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: May 17, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
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 05-17-2021 and concluded on 05-17-2021. The provider was contacted by phone to initiate the inspection. There were 2 children present and 1 staff. The Inspector reviewed 1 child?s record and 1 staff records submitted by the facility to ensure documentation was complete. 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.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of records, one child's record does not contain documentation of a physical, within 30 days of enrollment.
Evidence:
There was no physical on file for Child A.

Plan of Correction: I will ask the parent to get the physical form from the doctor.

Standard #: 22VAC40-111-60-A
Description: Based on a review of records, one child's records was not kept up-to-date.
Evidence:
The child enrollment form is dated 2/26/2020 (expired)

Plan of Correction: I will have the parent update the record.

Standard #: 22VAC40-111-70-A
Description: Based on a review of records, there is no written acknowledgment of receipt of all required policies and procedures.
Evidence:
1 of 1 records reviewed did not contain documentation of the liability insurance declaration. (Child A)

Plan of Correction: I will have the parent sign the form for the liability insurance declaration.

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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