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Debra Goodman
13565 Melville Lane
Chantilly, VA 20151
(703) 631-2044

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: July 29, 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 Preventing the Spread of Disease
22VAC40-111 Emergencies
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed the process the Provider is involved with the local Zoning department.

Comments:
An unannounced renewal inspection was initiated today at 12pm. There were no children in care today. Files were reviewed and the physical plant was inspected. The Provider is not currently certified in MAT (medication administration training). Both caregivers are certified in CPR and First Aid. The findings of the inspection were reviewed with the Provider. Should you have any questions, please contact me.

Violations:
Standard #: 22VAC40-111-70-A
Description: Based on file review, 3 out of 5 children's records do not have all required paperwork on file. Evidence 1. Children #2, #3 and #5 do not have a signed Provisions of the family day home's emergency preparedness and response plan on file.

Plan of Correction: Child #2 has this form on file, but it is not signed. We will have these signed by the parents.

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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