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Laura Marshall-Norris
12541 Bunche Road
Fairfax, VA 22030
(703) 929-2625

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

Inspection Date: Aug. 6, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-191 Background Checks for Child Welfare Agencies

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of three children's records, the licensee failed to obtain the physical examination for one child. Evidence - The record for child #8 did not contain a physical examination.

Plan of Correction: Update folder

Standard #: 22VAC40-111-120-B
Description: Based on a review of the child care assistant's record, the licensee failed to obtain all of the required information. Evidence - The record for child care assistant #1 did not contain her name, address, verification of age, job title, date of employment, name, address and telephone number of a person to be notified in an emergency and two references.

Plan of Correction: Th [sic] one page form in folder was located and placed in proper file.

Standard #: 22VAC40-111-60-B
Description: Based on a review of three children's files, one that had not been checked previously and two files that had been checked at the last inspection, the licensee failed to obtain all of the required information. The record for child #2 did not contain a telephone number for the second emergency contact, the child's health insurance policy number, or the mother's work address. The record for child #8 did not contain a second emergency contact, the child's doctor's name , address and telephone number or the child's health insurance policy name and number.

Plan of Correction: This one page form was updated making folders complete.

Standard #: 22VAC40-111-70-A
Description: Based on a review of three children's records, two that had been reviewed previously and one that had not been reviewed, the licensee failed to provide the parents with all of the required written information. The record for child #1 did not contain the parent & licensee signatures on the "Policy for the Administration of Medications" form, fee for child care services or the daily schedule. The record for child #2 did not contain the fee for child care services. The record for child #8 did not contain the parent and licensee signatures on the "Policy for the Administration of Medications" form, the fee for child care services or the daily schedule.

Plan of Correction: This one page form was updated Weekly themes and daily schedule posted Additional copies will be placed in child's folder making them complete

Standard #: 22VAC40-111-170-A
Description: Based on a review of the record for the assistant care giver, the licensee failed to obtain a tuberculosis screening for the assistant. Evidence - The record for assistant #1 did not contain a tuberculosis screening.

Plan of Correction: Update folder

Standard #: 22VAC40-111-200-A
Description: Based on a review of the file for the child care assistant, the licensee did not provide the required orientation. Evidence - There was no completed orientation form available for assistant #1.

Plan of Correction: Orientation was completed on start date. Folder was located and placed in proper file.

Standard #: 22VAC40-111-210-A
Description: Based on information from the licensee, the 16 hours of required annual training for 7/2014 - 7/2015 were not obtained. Evidence - The licensee stated that she had forgotten all about the training hours.

Plan of Correction: I usually train 8 hrs/month at a U.S. Military Base but program ended. I have 3 hrs scheduled for 12 and will continue.

Standard #: 22VAC40-111-280
Description: Based on observation, the licensee failed to keep potentially poisonous substances stored in areas inaccessible to children. Evidence - There were two bottles of hand sanitizer observed on the side edge of the kitchen counter within children's reach.

Plan of Correction: Sanitizer was placed next to tissue box to promote hygiene. Have moved to a higher location.

Standard #: 22VAC40-111-460-C
Description: Based on a review of documents available during the two hour inspection, the licensee failed to locate a rabies certificate for one dog. Evidence - The rabies certificate for Bruno could not be located.

Plan of Correction: Bruno has since moved but a copy of his shot record will be placed in his folder should he return.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on a review of the record for assistant #1, the licensee failed to obtain one of the required Background Check Documents. Evidence - There was no Sworn Statement completed by assistant #1.

Plan of Correction: Folder was located and placed in proper file.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on a review of the records for staff and household members, the licensee failed to obtain an updated Criminal Record Check for one person every three years. Evidence - The record for household member #3 expired on 7/17/2015.

Plan of Correction: All forms were mailed together and returned. #3 form was over looked the record is up to date.

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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