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Bishrul Hazam
3537 Blair Road
Falls church, VA 22041
(703) 465-4795

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Jan. 31, 2023

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.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced renewal inspection was conducted today from 10:00am-11:10am. There were 5 children (14 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and listening to music. There was an adequate supply of books, toys, and materials for the children. The home was clean and organized. 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 Maria Soto at 571-835-5058 or maria.soto@doe.virginia.gov

Violations:
Standard #: 22.1-289.036-A
Description: Based on record review, the family day home did not conduct repeat background checks for all household members every 5 years as required.

Evidence:
Household member #1's file contains a central registry background check that was completed on 9/17/2017 and a Sworn Disclosure or Affirmation form that has not been dated.

Plan of Correction: Completed.

Standard #: 8VAC20-800-60-B
Description: Based on record review, children's records did not all contain required information.

Evidence:
Child #4's record is missing a written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.

Plan of Correction: Completed

Standard #: 8VAC20-800-180-A
Description: Based on record review, caregiver and household member records contain Report of Tuberculosis (TB) Screening forms that were not updated every two years from the date of the last screening

Evidence:
1. Staff #1's record contains TB screening/test results that were completed on 11/18/2020.
2. The records of Household member #1 and #2 contain TB screening results that were completed on 1/20/2021.

Plan of Correction: Completed

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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