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Sherry Kelly-Williams
3102 Wilson Avenue
Alexandria, VA 22305
(703) 548-6818

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Jan. 22, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Technical assistance was offered related to children's records.

Comments:
An unannounced renewal inspection was conducted from 10:25 am to 11:45 am. There were 10 children (28 points) in direct care and supervision of 2 caregivers. The children were observed playing with home living toys, dress up and doing circle time. Children were also observed washing hand after using the bathroom. There were no medications on site. 5 children's records, 2 caregiver records, and emergency drill records were reviewed. A walk through of the family day home was conducted. Areas of non compliance are listed in the violation notice. For any questions related to this inspection, please contact me at 571-835-4718 or mahrukh.aziz@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, infant bottles were not labeled with the name and date.
Evidence: Three infant bottles for Child # 1 were not dated.

Plan of Correction: Bottles will be labeled with name and date.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the family day home did not obtain documentation of a physical exam within 30 days of attendance.
Evidence:
1. Child # 1's first day of attendance was 9/26/19.
2. Documentation of a physical exam was not obtained by the provider within 30 days of attendance, and was not available for review.

Plan of Correction: A copy of the physical exam will be requested from the parents.

Standard #: 22VAC40-111-60-B
Description: Based on record reviews, children's records were not complete.
Evidence:
1. Child # 1's record was missing information for a second emergency contact.
2. An annual update for the records of Child #2, Child # 3 and Child # 4 was not completed annually.
3. Child # 5's record was missing the liability insurance form.

Plan of Correction: Annual updates will be completed and missing information and paperwork will be collected.

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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