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Emma Arteaga
7346 Arlington Blvd
Falls church, VA 22042
(703) 534-3516

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: Oct. 5, 2015 and Oct. 15, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Consultation was given on correctly completing the Sworn Disclosure Statement (SDS) form. One household member is missing a signature and another household member needs to read the form and understand the questions before completing the statements to accurately reflect his history.

Comments:
An unannounced monitoring visit was conducted to modify the address of the Family Day Home license. The modification visit was conducted on two days as the home address was previously licensed with another provider. The Licensing Inspector for the previous owner accompanied the current LI to verify the license was no longer with the previous tenant. The tenant moved at the end of September and the provider moved in to the home in early October. Changes were confirmed and the previous licensee will be closed. Four children were present both days for eight points with the provider which is within ratios for supervision. Home was cleaned up and bought into compliance. Observed children hand washing, free play and transition to rest time. Four cribs were present and all four meet the CPSC safety standards as all were manufactured after 6/2011. Areas of non-compliance are identified in this report. Please sign and date the report and return it to me within 10 calendar days from date of receipt. If you have any questions regarding the inspection, please feel free to contact me. The Provider's responses for the "Description Of Action To Be Taken" were not received as of 11/4/2015 and will not appear on the Violation Notice. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-A
Description: Based on provider statement, a written emergency plan has not been written for the new location of the family day home. Evidence: The plan needs to be site specific for the new family day home address for relocation, shelter in place and emergency exits.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record review, repeat background checks were not submitted prior to the three year expiration for several household members. Evidence: Central Registry checks have expired before the new ones were submitted for three houshold members. The CPS checks expired in July 2015.

Plan of Correction: Not available online. Contact Inspector for more information.

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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