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Farzana Jabeen
4602 Fair Valley Drive
Fairfax, VA 22033
(571) 269-8625

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22.1-289.011-F
Description: Based on observations made, the findings from the most recent inspection were not posted in a conspicuous place on the licensed premises. Evidence: The Violation Notice for the 12/14/23 inspection report was not posted. The Inspection Summary was posted.

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

Standard #: 22.1-289.036-A
Description: Based on records reviewed, 4 of 4 caregiver and household members records did not include background checks completed every 5 years.

Evidence:

1. Caregiver #1-The criminal record check was dated as completed 5/20/19, and the central registry search was dated as completed 6/5/19.
2. Household member #1-The central registry search was dated as completed 6/5/19.
3. Household member #2-The criminal record check was dated as completed 5/20/19, and the central registry search was dated as completed 6/5/19.
4. Household member #3-The criminal record check was dated as completed 5/20/19, and the central registry search was dated as completed 6/25/19.

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

Standard #: 8VAC20-770-40-D-4
Description: Based on records reviewed, 2 of 4 household members do not have documentation of a Sworn Disclosure Statement (SDS) completed every 5 years on-file. Evidence: The SDS's for household members #2 and #3 were dated as completed 5/24/19.

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

Standard #: 8VAC20-800-810
Description: Repeat violation.
Based on records reviewed, the emergency preparedness plan did not include required documentation. Evidence: The relocation address was not written in the plan.

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

Standard #: 8VAC20-800-920
Description: Based on observations made, there was no menu posted for the current week. Evidence: The menu appeared to be for a previous month and did not match the food served for lunch today.

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

Standard #: 8VAC20-800-100-A
Description: Based on records reviewed, 1 of 4 children's records reviewed did not include a physical exam within the first 30-days of attendance. Evidence: Child #7-There was no physical exam on-file. The child began attending 3/3/24.

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

Standard #: 8VAC20-800-60-B
Description: Based on records reviewed, 2 of 4 children's records did not include documentation of required information.

Evidence:

1. Child #5-The emergency preparedness plan was blank and not signed by the parents.
2. Child #7-The enrollment agreement , Information for Parents form, and the liability insurance form were not signed by the parents.

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

Standard #: 8VAC20-800-70-A
Description: Repeat violation and systemic deficiency.
Based on records reviewed, 2 of 4 children's records did not include documentation of required policy and procedure information.

Evidence:

1. Child #5-The Information for Parents form did not document all of the required policies/procedures to include discipline, daily schedule and termination policy. The document was also not signed by the parents.
2. Child #7- The Information for Parents form did not document all of the required policies/procedures and portions of the form were left blank.

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

Standard #: 8VAC20-800-90-A
Description: Based on records reviewed, 1 of 4 children's records did not include documentation of immunizations prior to the child attending. Evidence: Child #7-There were no immunizations on-file. The child began attending 3/3/24.

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

Standard #: 8VAC20-800-90-C
Description: Repeat violation and systemic deficiency.
Based on records reviewed, 2 of 4 children's records did not include immunizations every 6 months until the age of 2 years old.

Evidence:

1. Child #1-The immunizations on-file were dated September 2022 when the child was 4 months old.
2. Child #2-The immunizations on-file were dated July 2021 when the child was 5 months old.

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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