VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Amber Iftikhar
8868 Bennington Blvd
Lorton, VA 22079
(703) 339-0437

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: July 28, 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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 20 Access to minor?s records 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Technical Assistance:

Discussed the following with the provider: *Walk around the outdoor play area to ensure the area is safe for all children since child #1 is crawling. * Inventory the size of manipulatives in the care area and their placement to ensure that they are safe for the infant who is now crawling and can reach lower shelves. * Ensure the diapering mat is cleaned thoroughly.

Comments:

An unannounced renewal inspection was conducted today between 9:45 AM and 12:25 PM. There were 4 children in care, including one of the providers own children with one (1) caregiver present, for a total of 9 points within the supervision guidelines. The children were observed playing with blocks, legos, and drawing. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were reviewed during this inspection. There were no medications on site at this time. The provider completed a total of 22 hours of training during the last licensing period, exceeding the requirement of 16 annual training hours. 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. Thank you for your cooperation. If you have any questions, please e-mail sheila.nelson@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-760-A-1
Description:	Based on observation, first aid kit did not contain a first aid instruction manual. Evidence: 1.The first aid kit did not contain a first aid instruction manual.
Plan of Correction:	I will go online, print an instruction manual and place in first aid kit.
Standard #:	8VAC20-800-790
Description:	Based on observations and interview with the provider, emergency telephone numbers were not posted in a visible area close to the telephone. Evidence: 1. Police, 911, Fire, Emergency Medical Tech and Poison Control numbers were not posted. 2. Provider acknowledged she did not have the telephone numbers posted. .
Plan of Correction:	I will type up the telephone numbers and post.
Standard #:	8VAC20-800-920
Description:	Based on interview with the provider and documentation review, the menu for meals and snacks provided by the family day home did not meet all requirements. Evidence: 1. Provider stated that lunch for the day was rice, vegetables, banana, and milk or water. 2. Posted menu listed the lunch for today as chicken, rice, mixed vegetables, and fruit. 3. The substitutions were not documented on the menu as required.
Plan of Correction:	I will write the substituted food on the menu when I have to change it.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, the family day home did not obtain documentation of additional immunizations every 6 months for children under the age of 2 years and once between 4-6 years. Evidence: 1 The most recent immunization report in the record for Child #3 (DOB 12/27/18) was 11/25/19. 2.The most recent immunization report in the record for Child #2 (DOB 11/8/15) was 3/11/2016.
Plan of Correction:	I will tell mom I need a new immunization record.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, areas and furnishings of the family day home, inside and outside, were not maintained in a clean safe and operable condition. Evidence: 1.Tripping hazard at the entrance of gate leading down the stairs to home entrance. 2.Garden supplies must be kept inaccessible to children 3.Bathroom toilet was not clean 4. Lawnmower was not inaccessible to children
Plan of Correction:	Lawnmower garden tools will be removed and inaccessible to children. We will work on tripping hazard.
Standard #:	8VAC20-800-250-B
Description:	Based on observation, toys or objects that could be swallowed or present a choking hazard were not kept out of reach of children under the age of three years. Evidence: 1.We observed matchbox cars, small plastic food and other small manipulatives that were less than 1-1/4 inches in diameter or less than two inches in length that were stored in an open container within reach of children under the age of three years. 2.Child #1 is 10 months of age, and is crawling.
Plan of Correction:	I will remove the small items.
Standard #:	8VAC20-800-250-E
Description:	Based on observations, balloons and empty plastic bags large enough for a child?s head to fit inside, were not inaccessible to children under five years of age. Evidence: Deflated balloons were observed through the care area and outdoor area. Inflated balloons were observed through the care area. 2. Plastic bags were observed inside an unlocked drawer in the bathroom cabinet of the care area accessible to children. 3.On the date of inspection, children in care were 10 months to 6 years of age.
Plan of Correction:	I will have my daughter pick up the balloons and I will move the plastic bags until a lock is installed.
Standard #:	8VAC20-800-280
Description:	Based on observations, potentially poisonous substances, cleaning agents, disinfectants, and deodorizers, were not stored away in areas inaccessible to children. Evidence: 1. The drawers of the cabinet under the sink were not locked and the doors had a lock that was not working properly allowing access to the cabinet. The following substances were observed in the cabinet: wrinkle repair cream, body wash, hand lotion, shampoo and conditioner bottles, multipurpose cleaner. 2. A bottle of bubble solution was observed on the bathtub ledge.
Plan of Correction:	I am going to change the bathroom cabinet lock and replace with a new one.