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Rubina Mirza
6048 Clames Drive
Alexandria, VA 22310
(703) 627-3930

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Feb. 25, 2022

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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
22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:
The Virginia Department of Education (VDOE) assumed oversight of child care licensing and monitoring on July 1, 2021. All associated regulations and codes have transferred over from the Virginia Department of Social Services. The violations listed below reflect the new VDOE codes and standards.
Model forms sent to the provider: Sworn Disclosure Statement, Central Registry Search (CPS), Emergency Preparedness Plan (EPP), Provisions of the EPP,

Comments:
An in person monitoring inspection was conducted today. There were 4 children (12 points) with one caregiver present. 4 child records and 5 household member records were reviewed. See Violation Notice for non-compliances.
Bathroom supplies, fridge temperature, emergency evacuation drills and posted documents were all in compliance. The inspection report will be typed off site and emailed to the provider. If you have any questions, please do not hesitate to contact me at Sarah.Marbert@doe.virginia.gov or at (703) 479-4678. LI was present today from 10:47 AM - 11:30 AM

Violations:
Standard #: 22.1-289.036-A
Description: Based on a review of records, household member records do not contain documentation of repeated background checks within the 5 year allowable time frame.
Evidence;
Sworn Disclosure Statement (SDS) and Central Registry Searches (CPS) were not repeated within 5 years for household members (HHM).
*HHM 1- CPS is dated 1/19/17 (expired); SDS is dated 8/27/16 (expired)
*HHM 2 - CPS is dated 12/15/16 (expired); SDS is dated 8/27/16 (expired)
*HHM 3 - CPS is dated 1/19/17 (expired); SDS is dated 8/27/16 (expired)
*HHM 4- CPS is dated 12/15/16 (expired); SDS is dated 8/27/16 (expired)
*HHM 5 - CPS is dated 12/15/16 (expired); SDS is dated 8/27/16 (expired)
New Central Registry Search form and SDS form were provided)

Plan of Correction: new searches will be completed and submitted to Richmond.

Standard #: 8VAC20-800-800-B
Description: The Emergency Preparedness Plan (EPP) has not been reviewed annually.
Evidence:
The plan's last review date is documented as 12/12/2019. The plan lists the relocation address, that is no longer the correct address. (model form provided)

Plan of Correction: I will update the plan and use the new, correct address.

Standard #: 8VAC20-800-70-A
Description: Based on a review of records, child records do not contain current written acknowledgment of policies and procedures.
Evidence:
2 of 4 records reviewed did not contain the correct address for the relocation destination in the event of an emergency, disclosed in the Emergency Preparedness Plan.
The address written on the Provisions of the Emergency Preparedness Plan for the destination of the relocation is not the correct address. (Children #1, 2) (model form provided)

Plan of Correction: I will update the form with the parents to the correct address.

Standard #: 8VAC20-800-690-E
Description: Based on observation, the diaper disposal container is not foot operated.
Evidence:
The foot operated diaper disposal container is broken.

Plan of Correction: I will get a new one.

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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