VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Noor Arman
8970 Hooes Road
Lorton, VA 22079
(703) 843-5759

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: April 10, 2023

Complaint Related: No

Areas Reviewed:

Areas of Standards 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 ?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:

A training was provided on caregiver and children's record keeping. Sample records were given to the provider to use as a reference.

Comments:

A renewal inspection was conducted on April 10, 2023. There were 11 children present, with 3 caregivers 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 3 child records and 3 caregivers 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. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection. .

Violations:

Standard #:	8VAC20-800-780-B
Description:	Based on review of children's records, the provider did not conduct an parental annual review of emergency contact information. Evidence A parental review of emergency contact information was not documented for child #2 and #3. Last update for child #2 was 9/1/2021 and for child #3 was 10/27/2021.
Plan of Correction:	I will review the emergency contacts with the parents and have them make any updates and sign. I will review annually review with all parents.
Standard #:	8VAC20-800-100-A
Description:	Based on review children's records, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence Child #2 who has been care for more than 30 days (start date 9/1/2021), does not have documentation of a physical examination.
Plan of Correction:	I will get the physical and make sure I have a physical for every child.
Standard #:	8VAC20-800-100-A
Description:	Based on review children's records, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence Child #2 who has been care for more than 30 days (start date 9/1/2021), does not have documentation of a physical examination.
Plan of Correction:	I will get the physical and make sure I have a physical for every child.
Standard #:	8VAC20-800-120-B
Description:	Based on review of caregiver records, two records were incomplete. Evidence Caregivers #1and #2 do not have documentation of two references being checked before first day of employment. Caregivers #1 and #2 do not have documentation of emergency contact or personal health information.
Plan of Correction:	I will get all missing documents and make sure all required documentation is in each record.
Standard #:	8VAC20-800-90-A
Description:	Based on review of children's records, one child under the age of two, does not have documentation that the child has been adequate immunized every six months. Evidence Child #1, who is under the age of two, does not have documentation of updated immunizations every six months. Last update was 6/28/2022.
Plan of Correction:	I will get the updated immunization record and make sure I get one every six months for children the age of two.
Standard #:	8VAC20-800-240-A
Description:	Based on observation areas of the family day home were not maintained in a clean, safe condition. Evidence Peeling and chipped paint was observed in the area the children play in.
Plan of Correction:	I will fix the peeling paint and make sure all areas are always safe.
Standard #:	8VAC20-800-680-A
Description:	Based on observation caregivers did not wash their hands with liquid soap and warm running water after diapering. Evidence Staff #2 did not wash their hands after a diaper change.
Plan of Correction:	I have already spoken to my assistants and will make sure hands are always washed.
Standard #:	8VAC20-800-680-B
Description:	Based on observation, caregivers did not endure that children's hands were washed with liquid soap and warm running water after a diaper change. Evidence Staff #2 did not ensure a child's hands were washed after a diaper change.
Plan of Correction:	I have already spoken to my assistants and will make sure hands are always washed.