VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shaima Azamy
13416 Vista Forest Drive
Woodbridge, VA 22192
(703) 209-3482

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: April 5, 2022

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 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks

Comments:

An initial study was conducted on 04/05/2022 from 10:30 a.m. - 12:00 p.m. The family day home was observed for age/stage appropriate supplies, activities, and equipment for children aged birth - 12 years. Policies and procedures, emergency procedures, and emergency equipment for were observed. There were no children in care during the inspection. The provider and 3 household member records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-770-40-C-1-c
Description:	Based on review of two household member records it was determined that not all household member records contained documentation of a central registry background check upon application for licensure. Evidence: During the announced initial inspection central registry background checks were not on file for household member A and household member B.
Plan of Correction:	The provider will resubmit central registry background checks for household member A and household member B.
Standard #:	8VAC20-800-760-A-1
Description:	Based on review of the first aid kit it was determined that not all required supplies were available. Evidence: The first aid kit did not contain triangular bandages.
Plan of Correction:	The provider will purchase triangular bandages for the first aid kit.
Standard #:	8VAC20-800-770
Description:	Based on interview and observation of the family day home it was determined that emergency flashlights and a weather band radio were not available to caregivers at all time. Evidence: The provider has not yet obtained a flashlight and weather band radio.
Plan of Correction:	The provider will purchase a flashlight and weather band radio for the family day home.
Standard #:	8VAC20-800-790
Description:	Based on observation of the family day home it was determined that required telephone numbers were not posted. Evidence: The telephone numbers for 911 or local police, fire, emergency medical responders, regional poison control, and the person responsible for emergency backup care were not posted.
Plan of Correction:	The provider will post the required telephone numbers.
Standard #:	8VAC20-800-330-A
Description:	Based on interview and observation of the family day home it was determined that an operable landline telephone was not available at the family day home. Evidence: The provider has not requested a landline telephone number or purchased a landline telephone for emergencies.
Plan of Correction:	The provider will request a landline telephone line and purchase a landline telephone.
Standard #:	8VAC20-800-430-B
Description:	Based on observation it was determined that pressure mounted or accordion expansion gates were not excluded. Evidence: A pressure mounted gate was observed at the stair opening.
Plan of Correction:	The provider will purchase a wall mounted gate for the stair opening.