VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Mozhdeh Monjezi
1658 Old Brook Road
Charlottesville, VA 22901
(434) 409-6465

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Nov. 4, 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 22VAC40-111 Nutrition 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Technical Assistance:

A supplemental page was provided.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documents review, interviews and a virtual tour of the program. A monitoring inspection was initiated and concluded on November 4, 2021. The provider was contacted by telephone and a virtual inspection was conducted. In the care of the provider and two assistants were 12 children, ranging in age from 5 months to 3 years (35 Points). The inspector reviewed compliance in the areas of administration, personnel, physical health of caregivers, training, care of children, physical environment, nutrition and emergencies. Two child records, the provider's record and the records of one household member and two assistants 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 #:	22VAC40-111-760-A-1
Description:	Based on observation and discussion with the provider, the first-aid kit did not contain all of the required items. Evidence: 1. The first-aid kit did not contain a First-Aid Manual. 2. The provider confirmed that she did not have a manual.
Plan of Correction:	She will obtain a first-aid manual as soon as possible.
Standard #:	22VAC40-111-100-A
Description:	Based on review of two children's records and verification from the provider, one child's record did not contain documentation that the child had received a physical examination, which is required within 30 days of the child's first date of attendance. Evidence: 1. The record for Child #2 did not contain a physical examination report. Date of enrollment for Child #2 was 09/15/2021. 2. The provider confirmed that she had not received a physical examination report for Child #2
Plan of Correction:	The provider will contact the parent of the child and ensure that the a physical exam report is obtained as soon as possible.
Standard #:	22VAC40-111-90-A
Description:	Based on review of two children's records and confirmation from the provider, one child's record did not contain documentation that the child had been adequately immunized which is required before the child's first date of attendance. Evidence: 1. The record for Child #2 did not contain an immunization record. Date of enrollment for Child #2 was 09/15/2021. 2. The provider confirmed that the parent had not given her the child's immunization record.
Plan of Correction:	The provider will reach out to the parent of the child and ensure that the immunization record is obtained as soon as possible.
Standard #:	22VAC40-111-180-A
Description:	Based on review of records and verification from the provider, the provider and a household member did not obtained their updated Tuberculosis (TB) test/screening within two years of the most recent one. Evidence: 1. The record for the provider and Household Member #1 did not contain a TB screening/test that had been completed within the last two years. The date of the most recent screenings for the provider and Household Member #1 was 07/02/2019. 2. The provider thought they had obtained updated screenings and lost the report, but when she called to obtain copies of the reports, she was told that the last TB that they had received was 07/02/2019.
Plan of Correction:	The provider and the household member will obtain new negative TB screenings as soon as possible.