VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Salma Nab
6301 Travilah Court
Fairfax station, VA 22039
(571) 762-6655

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Oct. 13, 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-111 Nutrition 22VAC40-111 Transportation 22VAC40-111 Nighttime Care 63.2 Licensure and Registration Procedures

Technical Assistance:

When fingerprint letter is received, please forward to your inspector. Caregiver cannot work until eligible fingerprint letter is received. A carbon monoxide detector is required to be in your home.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews (if applicable) and a virtual tour of the program (if applicable). A renewal inspection was initiated on October 13, 2021 and concluded on October 14, 2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 10 children present, ranging in ages from 1 month 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 and nutrition. Child records and 2 caregiver 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.

Violations:

Standard #:	22VAC40-111-180-A
Description:	Based on review of two caregiver's records, one does not contain documentation of a current report of tuberculosis screening form Evidence The record for staff #1 does not contain documentation of a current report of tuberculosis screening. Report in record expired in September 2021.
Plan of Correction:	I had the screening done, but haven't received the results yet. I will put them in my record when they are received.
Standard #:	22VAC40-111-210-A
Description:	Based on review of two caregiver's records, one does not contain documentation of a minimum of 16 hours of annual training in areas that are relevant to their job responsibilities. Evidence The record for staff #1 does not contain any documentation of annual trainings.
Plan of Correction:	Due to COVID I did not attend any in person trainings. I will try to do some on line.
Standard #:	63.2-1720.1-B-2
Description:	Based on review of two caregiver's records, one does not contain documentation of an eligible fingerprint letter, before their first day of employment. Evidence The record for caregiver #2 does not contain documentation of an eligible fingerprint letter before their first day of employment.
Plan of Correction:	They had their fingerprint done somewhere else, she will have it completed from a Fieldprint office and I will put the results in her record. Results will be sent to inspector when received. Caregiver will not work until eligible letter is received.