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Poonam Anand
12150 Blue Topaz Lane
Fairfax, VA 22030
(703) 867-6524

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: Aug. 26, 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 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
1. Discussed health and safety practices, as it relates to health pandemic.
2. Reviewed emergency drill requirements.

Comments:
This inspection was conducted by staff using an alternative remote protocol, including phone interview and record review. A virtual observation or on-site inspection was not conducted at this time.

An unannounced monitoring inspection was conducted at 10:35am. The provider was contacted by phone to initiate the inspection, and given a list of items required to complete the inspection. There was 5 children present = 14 points with the provider. Information gathered during the inspection determined there were areas of non-compliance with applicable standards or laws reviewed. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Note: Current regulation and Code numbers are handwritten on the original inspection report issued to the Provider.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on records reviewed, it was determined that 2 of 2 children's records did not include required information.

Evidence:

1. Child #6 - There was no documentation of medical insurance and emergency medical authorization signed by the parent. The emergency medical authorization form on-file was blank and not signed by the parent.

2. Child #7 - There was no documentation of medical insurance, emergency medical authorization signed by the parent, and notice of liability insurance form.

Plan of Correction: The Provider will have parents complete the required forms, and in the future review paperwork to ensure completion prior to enrollment.

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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