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Ms. Afrooz Ghobadi
15268 Sky Valley Drive
Haymarket, VA 20169
(703) 896-0500

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Dec. 18, 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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
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.

Technical Assistance:
Discussed with the provider that each child in care must have their own enrollment record, and that writing siblings' names on the enrollment form is not sufficient. The provider stated that she would ensure to create a separate enrollment record for each child in care. The records can be kept in the same file, but the enrollment records must be completed for each individual child.

Comments:
An unannounced monitoring inspection was conducted on 12/18/2023. There were 10 children (26 points) directly supervised by 3 caregiver(s). The home, 3 caregiver records, 6 children's records, 1 household member's record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely inside the play room. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector, Keesha Minor: (keesha.minor@doe.virginia.gov) (540)-340-2672.

Violations:
Standard #: 8VAC20-770-40-D-4
Description: Based on review, the provider did not ensure that caregivers and household members sworn statements of disclosure were signed every 5 years from the date of the initial statement.
Evidence: reviewed the provider's records and found that sworn statements for Household Member 1 and the provider had expired.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-A
Description: Based on review, the provider did not ensure that they maintained up-to-date record at the family day home for each enrolled child.
Evidence: reviewed 4 children's records and found that there were an additional 3 children enrolled that did not have their own record. Their names and date of birth were merely added to a blank area at the top of the enrollment forms of their older siblings.

Plan of Correction: Not available online. Contact Inspector for more information.

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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