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Hayat Khalifa
42065 Foley Headwaters Street
Aldie, VA 20105
(703) 793-0605

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: March 27, 2024

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 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Comments:
An unannounced monitoring inspection was conducted today from 10:25am-12pm. There were 8 children (20 points) directly supervised by the provider and 2 assistant caregivers. The home, 3 caregiver records, 5 children?s records, 3 household member?s records, evacuation drills, and emergency supplies were inspected. Children were observed playing freely, having lunch, and preparing for naptime. 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 provider did not obtain a sworn state or affirmation every five years for 1 of 3 household members .

Evidence:
1. The most current sworn statement for Household Member #3 was dated 09/02/2018

Plan of Correction: A new sworn statement will be completed today.

Standard #: 8VAC20-800-120-B
Description: Based on record review, 2 of 3 caregiver records reviewed did not contain all required information.

Evidence:
1. The records for Caregiver #2 (start date 2/6/2024) and Caregiver #3 (start date 2/15/2024) did not contain documentation of verification of age.
2. The record for Caregiver #2 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: Provider will request the missing information.

Standard #: 8VAC20-800-90-A
Description: Based on record review, the provider did not obtain documentation a child has been adequately immunized before the child may attend the family day home for 1 of 5 children's records reviewed.

Evidence:
1. Child #4 began attending the family day home on 09/20/2023. The immunizations in the record for Child #4 were dated 09/22/2023.

Plan of Correction: The provider will obtain immunizations before the child's first day.

Standard #: 8VAC20-800-90-C
Description: Based on record review, the family day home did not obtain documentation of additional immunizations every 6 months for one child.

Evidence:
1. Child #2 began attending the family day home on 09/05/2023. The most current documentation of immunizations in the record for Child #2 were dated 08/25/2023.

Plan of Correction: Provider will request updated immunizations after the child completes their yearly physical.

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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