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Giuliana Grayson-Deza
45521 Lake Haven Terrace
Sterling, VA 20165
(571) 434-0452

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: Nov. 12, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
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.

Comments:
An unannounced monitoring inspection was conducted today from 2:30 pm - 3:30 pm. There were 7 children directly supervised by the provider and 1 assistant. The physical environment, caregiver records, children' records, posted documents, evacuation drills, emergency supplies, and policies were inspected. There was an abundant supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, staff-to-child ratios were in compliance. The home was clean and organized. If you have any questions regarding this inspection, please contact the Licensing Inspector. kelly.savittiere@dss.virginia.gov 703 479 4746

Violations:
Standard #: 22VAC40-111-60-B
Description: Based upon observation, required documentation was incomplete in a child's record. Evidence: Child A's record is missing a parent signature on enrollment paperwork. The form was completed by parent as required, however, the parent signature was omitted.

Plan of Correction: Provider will have parent sign form at pick up today.

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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