5642 Powers Lane
Centreville, VA 20120
Current Inspector: Nancy Radcliffe
Inspection Date: April 9, 2015
Complaint Related: No
- Areas Reviewed:
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
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.
An unannounced renewal inspection was conducted today from 9:15am-10:15am. There were 9 children(21 points) directly supervised by 2 staff. The home, 2 staff records, 3 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector. Erika Gibson (firstname.lastname@example.org) 703-479-4686
Standard #: 22VAC40-111-100-A Description: Based on record review, the provider did not obtain documentation of a child's physical examination prior to attendance or within 30 days after the first day of attendance. Evidence: Documentation of a physical examination was not observed for Child 3. Plan of Correction: I will have it completed.
Standard #: 22VAC40-111-110-B Description: Based on record review, children's immunization reports were not signed by a physician. Evidence: The immunization report observed for Child 3 was not signed by a physician. Plan of Correction: I will have it completed.
Standard #: 22VAC40-111-60-B Description: Based on record review, children's records were incomplete. Evidence: 1. The medical insurance policy number was not observed documented for Child 1. 2. An annual update of the child's emergency information was not observed documented for Child 2 and Child 3. 3. The parent's signed acknowledgement of the receipt of the "Emergency Preparedness and Response Plan" and the "Policy for the Administration of Medication" was not observed documented for Child 1. Plan of Correction: I will have it completed.
Standard #: 22VAC40-111-180-A Description: Based on record review, the provider did not obtain a current Report of Tuberculosis Screening (TB) every two years from the date of the previous screening for caregivers. Evidence: 1. The TB documentation observed for Caregiver A was last completed on January 4, 2013 and expired on January 4, 2015. 2. The TB documentation observed for Caregiver B was last completed on November 19, 2012 and expired on November 19, 2014. Plan of Correction: We will have it completed.
Standard #: 22VAC40-191-40-D-1-c Description: Based on record review, the provider did not obtain a current background check before three years since the date of the previous check for caregivers. Evidence: 1. The criminal history background checks observed for Caregiver A and Caregiver B were last completed on August 29, 2011 and expired on August 29, 2014. Plan of Correction: I will complete new background checks.
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.