VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Farzana Ashraf
3920 Kathryn Jean Court
Fairfax, VA 22033
(571) 201-3304

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: June 1, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and House 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 8VAC20-770 Background Checks 20 Access to minor's records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An in-person monitoring inspection was conducted on June 1 2022 from 11:45am to 12:30pm. There were 5 children present with 1 staff supervising. The children were observed eating lunch, washing hands and getting ready for nap time. 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 1 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. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@doe.virgina.gov

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child 2 does not have documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. (Date of enrollment 4/4/20)
Plan of Correction:	I will get the physical from the child's parents.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, all required information was not in the child's record. Evidence: Child 2 does not have 2 addresses for emergency contacts.
Plan of Correction:	I will have the parents give the information.
Standard #:	8VAC20-800-80-A
Description:	Based on record review, proof of identity was not obtained within 7 days. Evidence: Child 2 does not have signed documentation of viewing the proof of identity for the child.
Plan of Correction:	I will get the proof of identity.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, updated immunization records were not obtained for each child. Evidence: Child 1 has vaccination records dated 10/2020. (Date of enrollment, 8/1/2020)
Plan of Correction:	I will get the records.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, furnishings in the home were not maintained in a safe condition. Evidence: A white crib was observed to be held together at the corners with duct tape. A blue crib was observed to be fastened together using zip ties.
Plan of Correction:	I will replace the cribs.