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Marzia Ayubi
25941 Donovan Drive
Chantilly, VA 20152
(703) 463-0162

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: Aug. 9, 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 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Facilities and Programs

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone/email contacts, documents review, interviews and a tour of the program. A monitoring inspection was initiated on 8/9 and concluded on 8/23. The provider was contacted by email and then a virtual inspection was conducted. There were 9 children present, ranging in ages from 15 months to 5 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of 2 child records and 3 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Should you have any questions, please contact me at mary.wizbicki@doe.virginia.gov.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on file review, 1 out of 2 children's records did not include all required information.
Evidence
1. Child #1 does not have the insurance policy number included on the child's registration form.

Plan of Correction: I will ask the parent for this.

Standard #: 22VAC40-111-180-A
Description: Based on file review, 1 caregiver did not have a TB test/screening completed every 2 years.
Evidence
1. Caregiver #1's most recent TB test/screening was completed on 6/21/19.

Plan of Correction: This will be completed within the next 2 weeks.

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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