VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Kaylin Khan
6585 Davis Ford Road
Manassas, VA 20111
(703) 869-1680

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: March 28, 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 22VAC40-80 THE LICENSE. 20 Access to minor?s records 22.1 Background Checks Code; carbon monoxide detectors 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures

Comments:

An Unannounced Renewal Inspection was conducted on 3/28/2022 from 11:30am to 12:30pm. There were 13 children (two of her own) (26 points) directly supervised by 2 staff. The home, 1 staff record, 4 children's records, 1 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely outside and coloring/drawing inside the play room. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) or (540) 340-2672.

Violations:

Standard #:	22.1-289.036-A
Description:	Based on review, the provider did not ensure that repeat background checks were completed every 5 years. Evidence: Reviewed the provider an household member's records and found the following: 1. The provider and household member's central registry check wasn't repeated after 5 years. 2. The provider and household member's sworn statement was not repeated after 5 years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-140-B-3
Description:	Based on review, the provider did not ensure that she had current certification in cardiopulmonary resuscitation. Evidence: Reviewed the provider's records and found that her CPR certification expired on 2/20/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-140-B-4
Description:	Based on review, the provider did not ensure that she had current certification in first aid from the American Red Cross. Evidence: Reviewed the provider's records and found that her first aid certification expired on 2/20/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-180-A
Description:	Based on review, the provider did not ensure that subsequent tuberculosis screenings were completed every two years. Evidence: the provider's TB screening was last completed on 10/19/18.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-210-A
Description:	Based on review, the provider did not ensure that she obtained a minimum of 16 clock hours of annual training. Evidence: Reviewed the provider's records and identified through the provider interview that she had not obtained any of her 16 clock hours of annual training.
Plan of Correction:	Not available online. Contact Inspector for more information.