VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mandana Nassiri
42511 Madturkey Run Place
Chantilly, VA 20152
(571) 635-9125

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: May 24, 2023

Complaint Related: No

Areas Reviewed:

8 VAC 20-800 Administration 8 VAC 20-800 Personnel 8 VAC 20-800 Household Members 8 VAC 20-800 Physical Health of Caregivers and Household members 8 VAC 20-800 Caregiver Training 8 VAC 20-800 Physical Equipment and Environment 8 VAC 20-800 Care of Children 8 VAC 20-800 Preventing the Spread of Disease 8 VAC 20-800 Medication Administration 8 VAC 20-800 Emergencies 8 VAC 20-800 Nutrition 8 VAC2 0-820 THE LICENSE 8 VAC 20-820 THE LICENSING PROCESS 8 VAC 20-770 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:

Discussion of new assistant (Staff #2). Discussion of expiration of CPS, SDS, and upcoming need to obtain a CPS check for Household Member #3 who will be turning 14 years of age later this year.

Comments:

This monitoring inspection was initiated by licensing staff and concluded on 05/24/2023, between the hours of 10 am to 12 pm. There were 6 children present (17 points), ranging from infant to preschool-age, with 2 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 6 children records, 4 household records, and 2 staff records were reviewed. Information gathered during the inspection determined that there were (3) non-compliances with the applicable standards, code, and/or law. These violations were documented on the Violation Notice issued to the home. If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	8VAC20-770-40-D-1-a
Description:	Based on review, 2 of 2 staff files, and 2 of 4 household records indicate that some documentation on site has expired (older than 5 years). Evidence - 1. On the date of inspection (05/24/2023), the following searches of the central registry (CPS) checks were expired: Staff #1 (CPS check dated - 04/07/2018), and Staff #2 (CPS check dated - 04/07/2018). Household Member #1 (CPS check dated - 04/07/2018), and Household Member #2 (CPS check dated - 04/07/2018). 2. On the date of inspection, the following sworn statements (SDS) were expired: Staff #1 (SDS check dated - 03/18/2018), and Staff #2 (SDS check dated - 03/18/2018). Household Member #1 (SDS check dated - 03/18/2018), and Household Member #2 (SDS check dated - 03/18/2018).
Plan of Correction:	Requests for an updated search of the central registry will be conducted for all applicable staff and household members. These results will be placed on file.
Standard #:	8VAC20-800-60-B
Description:	Based on review, 1 of 6 children files indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (05/24/2023), the policy number for the listed medical insurance for Child #4 was not available. 2. The start date for Child #4 was listed as 03/20/23.
Plan of Correction:	This information will be obtained and placed on file.
Standard #:	8VAC20-800-90-C
Description:	Based on review, 1 of 6 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 (05/25/2023), the current immunization page on file for Child #2 was dated - 10/10/2022. 2. Based on the information on file, Child #2 was under 2 years of age on the date of inspection.
Plan of Correction:	An updated immunization page will be obtained and placed on file.