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Rubina Mahmood
8616 Lombardy Lane
Alexandria, VA 22308
(703) 799-1270

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date:

Complaint Related: No

Violations:
Standard #: 8VAC20-800-780-B
Description: Based on review, 1 of 10 children files indicated that annually, the Provider reviewed with the parent the emergency contact information (required in 8VAC20-800-60 B 2) to ensure the information is correct, but did not obtain a completed signed acknowledgment of this review.

Evidence -
1. On the date of inspection (04/20/2023), the signed acknowledgement of Child #3's annual review was missing the date of signature.
2. The last dated signature was from 09/10/2021. It is unclear when the current signature was acknowledged.

Plan of Correction: The parent will date signature.

Standard #: 8VAC20-800-90-C
Description: Based on review, 1 of 10 children files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years.

Evidence -
1. On the date of inspection (04/20/2023), an immunization page for Child #8 was dated - 08/22/2022.
2. On the date of inspection, based on information on file, Child #8 was under the age of two years.

Plan of Correction: Updated documentation will be obtained.

Standard #: 8VAC20-800-180-A
Description: Based on review, 1 of 5 staff files indicated that the Provider did not obtain for each caregiver 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 (04/20/2023), Staff #2 had TB documentation on file that was dated - 03/22/2021.
2. Staff #2 was not on site on the date of inspection.

Plan of Correction: Updated documentation will be obtained.

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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