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Mandana Nassiri
42511 Madturkey Run Place
Chantilly, VA 20152
(571) 635-9125

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Nov. 15, 2022

Complaint Related: No

Areas Reviewed:
8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Medication Administration
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC 20-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 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:
Discussion of background checks that are set to expire in 2023. These include those CPS checks, FPC, and SDS that are dated 2018.

Discussion of submitted FDH Renewal Application and attached documentation for the LLC.

Comments:
This renewal inspection was initiated by licensing staff and concluded on 11/15/2022, between the hours of 10 am to 12 pm. There were 4 children present (13 points), ranging from infant to preschool-age, with 1 caregiver supervising. 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 6 children records, 1 staff record, and 5 household records were reviewed.

Information gathered during the inspection determined that there was (1) non-compliance with an applicable standard. This violation was documented on the Violation Notice issued to the center.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations:
Standard #: 8VAC20-800-180-A
Description: Based on review, 2 of 5 household records indicated that the Provider did not obtain for each adult household member a current Report of Tuberculosis Screening (TB) form (in accordance with the requirements in 8VAC20-800-170), every two years.

Evidence -
1. On the date of inspection (11/15/2022), the following household members had TB documentation on file that was older than 2 years: Household Member #1, and Household Member #3.
2. The dates listed for the TB documentation on file were as follows: For Household Member #1 (TB documentation was dated - 09/18/2020), and For Household Member #3 (TB documentation was dated - 09/14/2020).

Plan of Correction: TB documentation will be updated for both by 02/01/2023.

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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