VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Medina Ahmed
6746 Applemint Ln
Alexandria, VA 22310
(703) 865-4826

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: May 5, 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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS 8VAC20-820 HEARINGS PROCEDURES 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:

Please post Violation Notice in area that is visible to the parents. Discussed equipment and arrangement of equipment so that space is readily available for movement. Discussed organization and maintenance of all files so that records are readily available for review.

Comments:

An unannounced monitoring inspection was conducted today from 12:15-1:15. There were 4 children for a total of 10 points directly supervised by the Provider. The home, 1staff records, 2 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. as the Provider is not MAT certified. Children were observed getting ready for nap. Diapering procedures were also observed. There was an assortment of age appropriate materials for children and Provider is working on setting areas up for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Cynthia Ford at Cynthia.ford@doe.virginia.gov or 703-479-4679.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on interview and record review, it was determined the Provider did not have a household member submit to fingerprinting when the household member turned 18 years of age. Evidence: 1. Household member 2 turned 18 years in October, 2022. The Provider stated she did not schedule a fingerprint background check.
Plan of Correction:	I will contact OBI and have him get a background check this week.
Standard #:	8VAC20-800-800-B
Description:	Based on record review, it was determined the Provider did not review the emergency plan at least annually and update the plan as needed. Evidence: 1. The Provider showed that she provided families with the complete emergency plan. 2. The plan was dated by the Provider for early 2022 and has not been updated.
Plan of Correction:	I will review and make changes to the plan where necessary. I will then sign and date the plan.
Standard #:	8VAC20-800-100-A
Description:	Based on record review of 2 children's files, it was determined the provider did not obtain documentation of a physical report within 30 days after first day of attendance. Evidence: 1. Child #2 was enrolled and started two months ago. The file contains immunization records but does not contain a physical report.
Plan of Correction:	I will request a completed physical report.
Standard #:	8VAC20-800-60-B
Description:	Based on review of 2 children's records, it was determined the children's records do not contain all required information. Evidence: 1. Child #1 's enrollment form did not contain the parents work address and phone number, and contained only 1 of 2 required emergency contacts. 2. Child #2's file only contained 1 of 2 emergency contacts, did not contain insurance policy name and policy number, and did not contain parent's work information.
Plan of Correction:	I will go over the paperwork with the parents and make sure they complete the forms.
Standard #:	8VAC20-800-70-A
Description:	Based on review of 2 children's records, it was determined the parents were not provided in writing all of the required information. Evidence: 1. Child #1 and # 2 have agreements and information signed by the parents but both were missing that the Provider does not administer medication, whether the provider has liability insurance, and the address of the department's website.
Plan of Correction:	I will include the information on the agreement and have parents sign the form.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the Provider did not ensure the diapering surface is nonabsorbent and washable. Evidence: 1. Upon observation of the changing station, a cloth covered mat was on the changing table and this cannot be washed.
Plan of Correction:	I will take off the cloth covers.