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Beenish Javaid
42752 Locklear Terrace
Chantilly, VA 20152
(703) 298-8984

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: May 31, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed with provider MAT training renewal and medication policy, background checks, landline, smoke detectors and ratios.

Comments:
An unannounced renewal inspection was conducted today from 8:50am-9:50am. There were 8 children (18 points) directly supervised by the
provider. The home, 3 staff records, 3 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies
were inspected. Children were observed watching a video and reading books. There was an adequate supply of books, toys, and materials for
the children. The home was clean and organized. 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.
If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@doe.virginia.gov

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on record review and interview, the Family Day Home did not obtain Fingerprint results for staff members prior to their first day of employment.

Evidence:
The records for Staff #2 and Staff #3 (DOH: 4/20/2022) did not contain Fingerprint results.

Plan of Correction: Fingerprints were obtained and filed in staff records.

Standard #: 8VAC20-770-40-D-4-a
Description: Based on record review, the Family Day Home did not ensure that a sworn disclosure or affirmation form was completed within 30 days of a person in the home becoming 18 years old.

Evidence:
HH #1's file contains a sworn disclosure or affirmation form that was completed on 4/20/2022. The form was not completed within 30 days of the person becoming 18 years old.

Plan of Correction: Sworn disclosure form was updated for daughter.

Standard #: 8VAC20-770-60-C-2
Description: Based on record review and interview, the Family Day Home did not obtain a Central Registry report for a staff member within 30 days of employment.

Evidence:
Staff #3's record did not contain Central Registry results. The staff member was hired on 4/20/2022.

Plan of Correction: Staff member is a sub and was filling in. CPS check has been filed.

Standard #: 8VAC20-800-90-C
Description: Based on record review, the provider did not obtain additional immunization records once every six months for children under the age of two years.

Evidence:
1. Child #1's record contains documentation of immunization records that were last updated on 8/20/2021.
2. Child #2's record contains documentation of immunization records that were last updated on 4/24/2020.

Plan of Correction: Parents were notified to provide updated records.

Standard #: 8VAC20-800-170-A
Description: Based on record review and interview, the provider did not obtain a current report of Tuberculosis (TB) for a caregiver prior to coming into contact with children.

Evidence:
Staff #3's (DOH: 4/20/2022) record does not contain documentation of a TB screening or test.

Plan of Correction: Staff was instructed to get updated TB screening as soon as possible.

Standard #: 8VAC20-800-240-A
Description: Based on observation and interview, the family day home (FDH) did not maintain all equipment in good repair.

Evidence:
1.During the inspection a smoke alarm was observed disconnected from the base of the alarm unit.
2. There was a working smoke alarm observed on the same level of the home, in the napping room.

Plan of Correction: Smoke alarm was replaced.

Standard #: 8VAC20-800-280
Description: Based on observation, cleaning material were not stored in areas inaccessible to children.

Evidence:
1. In the bathroom located in the daycare area, 2 containers of Pure Bright bleach, 1 container of Ajax and 2 containers of Clorox bleach were stored in the cabinet under the sink.
2. The child safety lock that was placed on the cabinet door, does not work.

Plan of Correction: Safety latch was fixed.

Standard #: 8VAC20-800-330-A
Description: Based on emergency supplies review and interview with the provider, it was determined that a landline telephone, excluding a cordless or cell phone, was not available for review during the inspection.

Evidence:
On the date of inspection, a landline phone was not available for review.

Plan of Correction: Landline was fixed.

Standard #: 8VAC20-800-570-A
Description: Based on observation of the children and record review, it was determined that the Provider
exceeded the 16 points per caregiver required by the standards.

Evidence:
The Provider was alone with 8 children from 8:50am to 9:24am. Records were reviewed and it was determined that the ages of children in care and the 8 children totaled 18 points.

Plan of Correction: Will make sure points are maintained during transitions, staff was on the way.

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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