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Ms. Kaylin Khan
6585 Davis Ford Road
Manassas, VA 20111
(703) 869-1680

Current Inspector: Morgan Bryson (540) 270-0057

Inspection Date: March 28, 2022

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
20 Access to minor?s records
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures

Comments:
An Unannounced Renewal Inspection was conducted on 3/28/2022 from 11:30am to 12:30pm. There were 13 children (two of her own) (26 points) directly supervised by 2 staff. The home, 1 staff record, 4 children's records, 1 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely outside and coloring/drawing 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@dss.virginia.gov) or (540) 340-2672.

Violations:
Standard #: 22.1-289.036-A
Description: Based on review, the provider did not ensure that repeat background checks were completed every 5 years.
Evidence: Reviewed the provider an household member's records and found the following:
1. The provider and household member's central registry check wasn't repeated after 5 years.
2. The provider and household member's sworn statement was not repeated after 5 years.

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

Standard #: 8VAC20-800-140-B-3
Description: Based on review, the provider did not ensure that she had current certification in cardiopulmonary resuscitation.
Evidence: Reviewed the provider's records and found that her CPR certification expired on 2/20/22.

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

Standard #: 8VAC20-800-140-B-4
Description: Based on review, the provider did not ensure that she had current certification in first aid from the American Red Cross.
Evidence: Reviewed the provider's records and found that her first aid certification expired on 2/20/22.

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

Standard #: 8VAC20-800-180-A
Description: Based on review, the provider did not ensure that subsequent tuberculosis screenings were completed every two years.
Evidence: the provider's TB screening was last completed on 10/19/18.

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

Standard #: 8VAC20-800-210-A
Description: Based on review, the provider did not ensure that she obtained a minimum of 16 clock hours of annual training.
Evidence: Reviewed the provider's records and identified through the provider interview that she had not obtained any of her 16 clock hours of annual training.

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

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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