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Shahida Awan
300 Whipp Drive
Leesburg, VA 20175
(571) 420-0357

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Jan. 31, 2023

Complaint Related: Yes

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.
8VAC20-770 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.
63.2 Child abuse and neglect

Comments:
A complaint was received in the licensing office on 1/25/2023. On 1/31/2023 an on-site investigation was conducted. Interviews were conducted, records were reviewed, and observations were made. At the time of this investigation, the preponderance of evidence did not support the allegation and the complaint is deemed not valid. There were unrelated violations found during the inspection and they are noted on the Violation Notice. Should you have any questions, please email me at shahana.green@doe.virginia.gov. with any questions.

Violations:
Standard #: 22.1-289.036-B-1
Complaint related: No
Description: Based on a review of Assistants' records, all assistants did not provide a sworn statement or affirmation.

Evidence:
1. Assistant #1 (doh: 1/31/2023) did not have a sworn statement on file at the time of the inspection.

Plan of Correction: I will have her fill it out.

Standard #: 8VAC20-800-120-B
Complaint related: No
Description: Based on a review of assistants' records, all records did not contain the required information.

Evidence:
1. Assistant #1 (doh: 1/31/2023) did not have documentation of 2 of 2 required references of character and reputation prior to employment.
2. Assisant #1 did not have documentation of an emergency contact on file during the time of the inspection.

Plan of Correction: I will get this complete.

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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