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Nidia Retamal
12495 Cliff Edge Drive
Herndon, VA 20170
(703) 707-1642

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: March 11, 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 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Technical assistance today included record keeping.

Comments:
An unannounced monitoring inspection took place today from 1:20 - 3:15 pm. There were 11 children present with the provider and two assistants for 29 points. I observed naptime and a smooth transition to waking up, washing, listening to a story, watching a video of children's music and interacting with the video; and beginning snack time. Areas have been rearranged into learning centers, with a wide variety of inviting materials for children. The crib room has been changed into a classroom for art and other sit down activities. The outdoor areas were not inspected due to snow cover. The provider was awarded her CDA credential in January. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov Please note: My phone number has been changed to 703 304-9609. The main office number remains 703 934-1505.

Violations:
Standard #: 22VAC40-111-800-B
Description: The posted emergency plan has not been updated annually as required. Evidence: The current emergency plan expired 8/14.

Plan of Correction: It will be reviewed and updated today.

Standard #: 22VAC40-111-830-A
Description: A review of emergency evacuation procedures found that 11 evacuation drills were conducted in 2014. Evidence: There was no emergency evacuation drill conducted in December.

Plan of Correction: We will do two this month to make up for that one.

Standard #: 22VAC40-111-960-E
Description: During today's inspection, two bottles were observed to be missing labels of children's names and dates as required.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-60-B
Description: A review of children's files today found that some information was missing. Evidence: There was incomplete information for the emergency contacts for Child # 1, #2 and #7.

Plan of Correction: I will talk to the parents.

Standard #: 22VAC40-111-80-A
Description: A review of children's records today found that one parent did not have bring in proof of identity as required. Evidence: There was no documentation of proof of identification for Child # 9 who began care over 7 days ago.

Plan of Correction: It was brought in but I did not write it in. I will talk to the parent to bring it in again.

Standard #: 22VAC40-111-90-C
Description: A review of children's records today found that one child did not have documentation of adequate immunizations from a health worker. Evidence: Child # 3 had a form that contained some immunizations but had no health worker's signature to confirm that shots were up to date.

Plan of Correction: I will talk to the parent.

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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