VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nayyar Firdous
6107 Marilyn Drive
Alexandria, VA 22310
(703) 717-9659

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Nov. 16, 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 8VAC20-770 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

Technical Assistance:

Discussed with provider: use of crib sheet fasteners, VQB5 registration, menu posting in the front door area.

Comments:

An in person monitoring inspection was conducted today. There were 7 children present (16 points) with 2 caregivers. The children were resting during the inspection. 3 child and 7 caregiver and household member records were reviewed. Emergency evacuation drills, first aid supplies, emergency supplies, fridge temperature, and crib/cot spacing were all in compliance. See Violation Notice for non-compliances cited. LI was present today from 12:40PM - 2:05PM If you have any questions, please contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-A
Description:	Based on a review of records, caregiver and household member records do not contain documentation of repeated background searches within the allowable 5 year time frame. Evidence: 6 of 7 records reviewed did not contain documentation of repeated background searches within 5 years. Central Registry Searches (CPS) for caregivers and household members are all dated 1/11/17 (expired), (Caregivers A, B; Household Members C, D, E,F)
Plan of Correction:	CPS documentation has been submitted. Awaiting results.
Standard #:	8VAC20-800-940-A
Description:	Based on observation, the freezer was not maintained at or below 0 degrees F. Evidence: The freezer temperature registered 13 degrees F on the thermometer in the freezer.
Plan of Correction:	I will adjust and monitor temperature.
Standard #:	8VAC20-800-70-B
Description:	Based on a review of records, child records did not contain documentation of acknowledgment of all required policies and procedures. Evidence: 2 of 3 child records reviewed did not contain documentation of the decision to administer medication. (Children 1,3)
Plan of Correction:	I will have parents sign a new copy.
Standard #:	8VAC20-800-510-E
Description:	Based on observation, a cushion in use for rest is not able to be cleaned and sanitized. Evidence: The cushion in use is a soft sided, and not able to be cleaned and sanitized at least weekly.
Plan of Correction:	I will replace cushion with cots and waterproof hard mattress.
Standard #:	8VAC20-800-530-A
Description:	Based on observation, rest mats/cots used by children did not have a top and bottom cover in use. Evidence: 4 children resting on cots did not have a top cover in use. 1 child had no top or bottom cover.
Plan of Correction:	I will order new covers to be used with cots.