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Rubina Mahmood
8616 Lombardy Lane
Alexandria, VA 22308
(703) 799-1270

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Oct. 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 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Discussion with the Provider of the Business Entity page that was submitted with the Renewal Application. A copy of the Articles for Organization are still needed. Documentation that this was filed with the SCC was given. However, it is the actual Articles of Organization that is needed versus a confirmation that it was filed.

A blank copy of a request of the central registry (CPS check) was sent to the Provider. Several checks are about to expire come early next year.

Comments:
A monitoring inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program.

This inspection was initiated and concluded on 10/26/2021. The Provider was contacted and a virtual inspection was conducted. There were 11 children present (34 points), ranging from infant to preschool-age, with 3 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication (no medication on site); special care and emergencies; and nutrition. A total of 5 children records, 2 household records, and 4 staff records were reviewed.

Information gathered during the inspection determined that there was one (1) non-compliance with an applicable standard. This violation was documented on the Violation Notice issued to the program.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations:
Standard #: 22VAC40-111-90-C
Description: Based on review, 1 of 5 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who is not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

Evidence -
1. On the date of inspection (10/26/2021), the current immunization record on file for Child #1 was dated - 04/06/2021.
2. It was confirmed that on the date of inspection (based on documentation on file) that Child #1 was under 2 years of age.

Plan of Correction: The Parent of Child #1 shall be contacted and an updated immunization page shall be obtained. This updated documentation shall be placed in the child's 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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