VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Khalida Kazimi
25814 Turlough Terrace
Chantilly, VA 20152
(571) 245-2103

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: June 22, 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 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted today between the hours of 1:10pm and 2:20pm. There were 4 children directly supervised by the provider and one additional caregiver. The home, 2 caregiver records, 4 children?s records, 2 household member?s records, evacuation drills, and emergency supplies were inspected. There were no medications on site today. Children were observed during naptime. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations:

Standard #:	22.1-289.036-A
Description:	Based on record review, the family day home did not obtain the results of a fingerprint based criminal history record check every 5 years for 3 of 4 caregiver/household members. Evidence: 1. New fingerprint check results were obtained for Caregiver #1 on 6/9/2023, more than 5 years after the previous fingerprint check results dated 2/14/2018. 2. New fingerprint check results were obtained for Household member #1 on 6/9/2023, more than 5 years after the previous fingerprint check results dated 2/14/2018. 3. New fingerprint check results were obtained for Household member #2 on 6/9/2023, more than 5 years after the previous fingerprint check results dated 2/14/2018.
Plan of Correction:	The family day home will obtain fingerprint check results for all caregivers and household members prior to 5 years from the previous fingerprint check results.
Standard #:	8VAC20-800-780-B
Description:	Based on record review, the provider did not review the emergency contact information required in the child's record with the parent annually for 2 of 4 children reviewed. Evidence: 1. The most recent review of emergency contact information in the record for Child #1 (start date 8/16/2021) was dated 3/14/22. 2. The most recent review of emergency contact information in the record for Child #4 (start date 2/1/2021) was dated 3/15/2022.
Plan of Correction:	The family day home will review the information with parents.
Standard #:	8VAC20-800-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance for one child. Evidence: 1. The record for Child #2 (start date 12/5/2022) did not contain documentation of a physical examination.
Plan of Correction:	The family day home will request documentation of a physical from the parents.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, 2 of 4 children's records reviewed did not contain all required information. Evidence: 1. The record for Child #3 did not contain the address for two designated persons to contact in case of an emergency if the parent cannot be reached 2. The record for Child #4 did not contain the address of the place of employment for a second custodial parent. 2. The record for Child #4 did not contain the policy number of the child's medical insurance.
Plan of Correction:	The family day home will ask the parents for the information.