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Elizabeth Houde
17006 Lakewood Court
Purcellville, VA 20132
(540) 338-4807

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: April 15, 2015 and April 21, 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 Emergencies
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was initiated on 4/15/15 at 2pm and completed on 4/21/15 at 2pm. On both days, there were 13 children present, totaling 32 points. See violation notice regarding the caregivers present on each day. The Provider is not MAT certified and there are no children with any medication needs during program hours at this time. The children were observed playing with toys, interacting with the caregivers in a positive and constructive manner and taking naps. Should you have any questions, please contact me.

Violations:
Standard #: 22VAC40-111-40-A
Description: Based on observations, there were more than the allowable licensed capacity of 12 children in care at any one time. Evidence 1. On both 4/15/15 and 4/21/15 at 2pm, there were 13 children receiving care at the FDH.

Plan of Correction: The provider will talk to the parents of one of the children about being on time to the FDH to prevent this from happening again in the future.

Standard #: 22VAC40-111-60-A
Description: Based on file review completed on 4/15/15, 2 out of 4 children's files reviewed had not been updated annually. Evidence 1. Child #2's file was last updated on 12/3/13. 2. Child #4's file was last updated on 3/24/14.

Plan of Correction: Both parents reviewed their respective child's file and signed it, verifying that the information was correct the next day.

Standard #: 22VAC40-111-170-A
Description: Based on file review completed on 4/15/15, 1 out of 3 caregiver/household member files does not have a TB test/screening on file. Evidence 1. Caregiver/household member #3 does not have a TB test/screening on file.

Plan of Correction: Caregiver/household member #3 will have this completed.

Standard #: 22VAC40-111-180-A
Description: Based on file review completed on 4/15/15, 1 out of 3 caregiver/household members does not have a TB test/screening completed within the past two years. Evidence 1. Caregiver/household member #2's most recent TB test/screening was last completed on 2/1/13.

Plan of Correction: This was completed on 4/19/15

Standard #: 22VAC40-111-570-A
Description: Based on file review and observations, the caregivers present did not follow the point system requirements allowing one caregiver to care for children totaling up to 16 points. Evidence 1. Upon arrival to the FDH on 4/15/15 at 2pm, there was one caregiver responsible for 13 children, which totaled 32 points. Another caregiver arrived back to the FDH 10 minutes after the inspection began.

Plan of Correction: The Provider will make sure there are sufficient caregivers present prior to leaving the FDH to run any errands.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on file review, repeat background checks were not completed for all caregiver/household members within the past three years. Evidence 1. Caregiver/household member #1's most recent search of the central registry (SCR) was last completed on 1/25/12. 2. Caregiver/household member #2's most recent sworn disclosure statement (SDS) was last completed on 4/9/12. 3. Caregiver/household member #3's most recent sworn disclosure statement (SDS) was last completed on 1/12/12 and most recent search of the central registry (SCR) was last completed on 1/27/12.

Plan of Correction: The SDS's on all caregiver/household members have been completed and the SCR's were mailed out since the 4/15/15 inspection.

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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