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Kinza Khalid
40871 Hayrake Place
Aldie, VA 20105
(703) 798-5496

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Oct. 26, 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
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 unannounced monitoring inspection was conducted today from 9:30am-10:20am with the provider on site. There were 2 resident children with the provider. Two 2 caregivers/household member's files were reviewed. The site was clean, organized and contained an abundant supply of developmentally appropriate materials. The physical space, first aid kit, menu and the Emergency Preparedness Plan were reviewed. There were no medications on site. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:
Standard #: 8VAC20-800-800-B
Description: Based on review of the emergency plan, the provider did not review and update the plan at least annually and document in writing each review.
Evidence:
1. The provider had an emergency plan that was last updated on 3/20/2021.

Plan of Correction: Yes, I will update it.

Standard #: 8VAC20-800-880
Description: Based on review of the menu, the the provider did not follow the most recent, age-appropriate nutritional requirements of a recognized author- ity such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).
Evidence:
1. The provider's menu listed Thursday lunch as : Rice Pilaf, Fish, Strawberry and milk.
2. The provider's menu listed Friday lunch as: Tenders, pizza, peach and milk.

Plan of Correction: Yes, I will update it.

Standard #: 8VAC20-800-180-A
Description: Based on record review, the provider did not obtain for each adult household member a
current Report of Tuberculosis Screening for m every two years from the date of the first screening.
Evidence:
1. Household Member #1 had a tuberculosisscreening form dated 11/30/2019.

Plan of Correction: Yes, we will update.

Standard #: 8VAC20-800-210-A
Description: Based on review of training, the caregiver did not obtain a minimum of sixteen clock hours of training annually.
Evidence:
1. The provider completed 10 1/2 hours of training from 4/29/2021 to 4/29/2022 and did not complete 16 hours of training.

Plan of Correction: Yes, I will finished it.

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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