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Karla Talavera
6806 Hopewell Ave
Springfield, VA 22151
(571) 421-4723

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: March 30, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
63.2 General Provisions.
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:
Discussed the following standards: children's records, and caregiver records.

An unannounced renewal inspection was conducted today. Observed 8 children (19 points) with two caregivers. Ratios and supervision were in compliance. A sample of 2 children's records, 2 caregiver records and 1 household member record were reviewed. The physical plant, emergency supplies and procedures were also reviewed. No medications were reported to be on site. The children were engaged in various activities, to include: free play, puzzles, and infant care. The interior of the family day home were found to be clean, organized and well supplied with toys, books and equipment for the children. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. Inspection conducted 9:30-10:30am. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or

Standard #: 22VAC40-111-60-A
Description: Based upon interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Upon Licensing Inspector request, Child C's file was not available for review. The provider stated that she has a file for the child but was unable to locate it during the inspection.

Plan of Correction: I will look for Child C's folder.

Standard #: 22VAC40-111-60-B
Description: Based upon documentation reviewed, children's records were incomplete. Evidence: 1) Two of the two children's records reviewed did not contain the policy number of the child's medical insurance (Child A and B). 2) Two of the two children's records reviewed did not contain the first date of attendance (Child A and B). 3) Two of the two children's records reviewed did not contain annual documentation of the review of the child's emergency contact information (Child A and B). Child A's last record reviewed was dated 12/09/2013. Child B's last record reviewed was dated 12/09/2013. 4) One of the two children's records reviewed did not contain proof of the child's age and identity (Child A). 5) One of the two children's records reviewed did not contain parent's signed acknowledgement of the receipt of information such as but not limited to: operating information, schedule of fees and payment, check in and check out procedures, policies for provisions of home, presence of a pet or animal in the home (Child A).

Plan of Correction: I will obtain all the missing information today and update the file as required.

Standard #: 22VAC40-191-40-D-1-c
Description: Based upon documentation reviewed, a caregiver background checks were not repeated within the allowable three year time frame. Evidence: 1) One of the two caregiver records reviewed did not contain a current search of central registry (CPS) and criminal history (CRC) check (Caregiver #1). 2) Caregiver # 1 last CPS check was dated 09/23/2011. Caregiver #1 last CRC check was dated 09/16/2011.

Plan of Correction: The background checks were already submitted/sent. I am waiting for the forms to be mail back to me.

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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