VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Noor Arman
8970 Hooes Road
Lorton, VA 22079
(703) 843-5759

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Feb. 22, 2022

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 22VAC40-191 Background Checks for Child Welfare Agencies 22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:

A discussion was held with the provider on creating a record for all staff and household members. The inspector will forward a list of record requirements. No staff can work without signing a sworn statement or having an eligible fingerprint letter on site. Forward to inspector when received. Inspector will forward a sample of an emergency log to provider.

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 monitoring inspection was conducted on February 22, 2022 following all COVID protocols. There were 8 children present, ranging in ages from 3 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 and nutrition. A total of 3 child records and 3 household member/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.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of eligible fingerprint letters for two caregivers, one did not submit to fingerprinting. Evidence Staff #1 (DOH 2/14/22) did not submit to fingerprinting.
Plan of Correction:	She has an appointment with Fieldprint and will get it done. In the future I will not have anyone start until I have their eligible fingerprint letter. I will send my inspector the eligible letter when it is received.
Standard #:	22.1-289.058
Description:	Based on review of physical plant and discussion with provider the home is not equipped with at least one carbon monoxide detector. Evidence The home does not have any carbon monoxide detectors.
Plan of Correction:	I will get make sure to get a carbon monoxide detector.
Standard #:	8VAC20-770-60-B
Description:	Based on review of two staff records, one current caregiver does not have a signed sworn statement. Evidence The record for staff #1 (DOH 2/14/22) does not contain a signed sworn statement.
Plan of Correction:	I will have her sign one immediately.
Standard #:	8VAC20-800-120-B
Description:	Based on review of staff records, there is no record for staff #1. Evidence The provider did not maintain a record for staff #1. There was no documentation of staff #1's emergency contact, current health, name address and phone number. There is no documentation of her age or 2 reference checks.
Plan of Correction:	I will set up a record for her. She just started last week.
Standard #:	8VAC20-800-90-A
Description:	Based on review of three children's records, the provider did not obtain documentation that was dated within the past year that the child has been adequately immunized. Evidence The immunization record for child #1 ( 5 years old) was dated more than one year old on their first day of attendance.
Plan of Correction:	I will get an updated immunization for child #1.
Standard #:	8VAC20-800-180-A
Description:	Based on review of household member records, the provider did not obtain a current report of tuberculosis screening form every two years from the date of the first screening for household member #1, Evidence The record for household member #1 does not contain a current report of tuberculosis screening form, the form in the record expired 03/2021,
Plan of Correction:	He is out of town most of the time, but he will have it done next time he is home.
Standard #:	8VAC20-800-200-C
Description:	Based on review of two staff records, one does not contain documentation of the orientation for the assistant provider. Evidence There is no documentation of orientation for staff #1.
Plan of Correction:	She just started last week, I will record the orientation.
Standard #:	8VAC20-800-690-D
Description:	Based on a discussion with provider the diapering surface is not being cleaned and sanitized after each use, using the two step procedure required by licensing. Evidence Diapering surface is being cleaned with a bleach or sanitizing wipe after each use. The procedure required by licensing include spraying the surface with a solution of soap and water, pat dry, spray with a solution of bleach and watch and allow to air dry. First you clean the surface then you sanitize the surface.
Plan of Correction:	I surface was being cleaned, but not according to licensing requirements. I will make up spray bottles of soap and water and bleach and water and follow the required procedure.