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Hayat Khalifa
42065 Foley Headwaters Street
Aldie, VA 20105
(703) 793-0605

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Aug. 17, 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.
8VAC20-820 THE LICENSING PROCESS.
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

Technical Assistance:
The inspector provided, via email, with training opportunities and an updated copy of the Sworn Statement form.

Comments:
A renewal inspection was conducted on 08/17/2022 between the hours of approximately 12:40 pm and 2:00 pm. There were 8 children present, ranging in ages from 10 months to 4 years, with 2 staff supervising. At the time of inspection, children were napping and staff was supervising.

The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A walkthrough of the entire physical space of the family day home was conducted. There were no medications on site today. A total of 3 child records and 5 staff/household members 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 the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.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:
1) The record for Child #2 (start date 03/04/2021) did not contain documentation of a physical examination.

Plan of Correction: The provider shall request the parents of Child #2 to provide the results of a physical examination.

Standard #: 8VAC20-800-70-A
Description: Based on record review, parents were not provided in writing required information from the family day home, before the child's first day of attendance.
Evidence:
1) The record for Child #3 (start date 09/27/2021) did not contain documentation of the parents being provided with the provisions of the family day home's emergency preparedness and response plan.

Plan of Correction: The provider shall provide the parents of Child #3 a copy of the fdh's "Provisions of the Emergency Plan" , obtain the signed acknowledgment and include in the record.

Standard #: 8VAC20-800-320-G
Description: Based on documentation review, the provider did not ensure that wood burning fireplaces and associated chimneys were inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed.
Evidence:
1) The most recent fireplace inspection was dated 10/26/2019.

Plan of Correction: The provider shall schedule an inspection of the fireplace and provide the inspector the documentation.

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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