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Ms. Tiffany Gonzalez
5029 Quinlan Drive
Woodbridge, VA 22193
(703) 590-2417

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: July 27, 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
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed: One Criminal Record Check pending.

Comments:
Initial Licensing Inspection was conducted beginning 9:05 and ending at 10:45. There were 4 children present ages two - nine. The children were observed playing and interacting. The whole house was inspected. Family and children files were reviewed - see violation notice. Emergency Escape drills will be started this month. Menu was posted. Attendance sheet is complete. The provider is not Medication Administration trained and does not give medication. If you have any questions: Please call at 540-272-2663 or email at linda.reynolds@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on a review of 5 children's records, it was determined that 3 files did not have complete information. Evidence: The file for Child #1 and #2 did not have medical insurance policy number and also does not have street addresses for emergency contacts. The file for Child #5, who enrolled on 6/1/15, does not have a physical on file.

Plan of Correction: The provider will get the required information from 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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