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Marcela Munoz
5400 Donnelly Ct.
Springfield, VA 22151
(703) 978-3912

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: March 3, 2015

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
63.2 Liability Insurance Disclosure

Comments:
Today an unannounced renewal inspection was conducted with the Provider-Ms. Munoz. This visit took place in the morning between 8:00-11, there were 1 child present for a total of points within the supervision guidelines. The child was observed having morning breakfast, singing songs, listening to music, learning body parts and during free play. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and provider records, fire drill log, attendance, menu and emergency procedures. If you have any questions, please e-mail me at Mayasah.Thomas@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on observation of the emergency plan, the emergency plan did not include documentation that it had been updated annually. Evidence: The emergency plan yearly review for fiscal year 2015 had not been documented or completed.

Plan of Correction: Provider stated that she will review the emergency plan and update the form.

Standard #: 22VAC40-111-100-A
Description: Based upon documentation reviewed, a child's physical examination was not obtained. Evidence: One of the four children's records did not contain a physical examination prior to the child's attendance or within 30 days after the first day of attendance (Child B; DOE 10/01/2011).

Plan of Correction: Provider stated that the child had left last year and came back two months ago. Provider will inform the parent to provide the information.

Standard #: 22VAC40-111-110-B
Description: Based upon documentation reviewed, a child's immunizations record did not meet requirements. Evidence: One of the four children's records contained immunizations record that were not signed by a licensed physician, the physician's designee, or an official of a local health department (Child B).

Plan of Correction: Provider stated that the child had left last year and came back two months ago. Provider will inform the parent to provide the information.

Standard #: 22VAC40-111-60-A
Description: Based on a review of the children's records, one record had not been updated by the parents yearly. Evidence: Child c's record, did not include documentation that the parent reviewed and updated the record since 12/13.

Plan of Correction: Provider will notify the parent and have them review the record and sign the form.

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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