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Nidia Retamal
12495 Cliff Edge Drive
Herndon, VA 20170
(703) 707-1642

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Dec. 3, 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
22VAC40-111 Nighttime Care
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.

Technical Assistance:
Technical assistance today included attendance, menus, crafts and cribs. To find forms for your staff and on-line classes, go to dss.virginia.gov and go to Children, and Provider Resources and Training.

Comments:
An unannounced monitoring inspection was conducted today from 1:30 - 3:15. There were seven children present plus two of the assistant's children for 33 points with the provider and two assistants. I observed children involved in quiet play, napping and eating snack. No children's medication was on-site. The outdoor areas were not inspected. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-940-A
Description: During today's inspection, the provider was not able to demonstrate that the temperature in the refrigerator was maintained at 40 degrees or below as required. Evidence: The thermometer on the refrigerator door read 46 degrees, and the inside thermometer was not registering anything.

Plan of Correction: I will turn down the temperature and buy another thermometer.

Standard #: 22VAC40-111-100-A
Description: A review of records today found that there was no documentation of a physical exam for a child who has been in care over 30 days. Evidence: There was no physical for Child # 3 (who began care 8/15.)

Plan of Correction: I will talk to his mother.

Standard #: 22VAC40-111-120-B
Description: A review of staff/household records today found that there was some written information missing for one staff member. Evidence: Staff # 2 did not have two references documented. There was also no written information regarding educational background and emergency contacts.

Plan of Correction: I will get these in her file.

Standard #: 22VAC40-111-60-B
Description: A review of children's records today found that some information was missing. Evidence: There was no health insurance number listed for Child # 1. There were no immunization records available today for Child # 4 and Child # 5.

Plan of Correction: I will talk to the parents.

Standard #: 22VAC40-111-70-A
Description: Before the child's first day, parents of two children were not provided with information in writing regarding emergency procedures as required. Evidence: The parents of Child # 1 and Child # 3 signed the form but the information regarding the family day care home's procedures in an evacuation was not documented.

Plan of Correction: I will fill it in and have them sign today.

Standard #: 22VAC40-111-80-B
Description: A review of records today found that one child did not have verification of age and identification as required. Evidence: Child # 2 did not have written verification that the provider verified documentation of identification.

Plan of Correction: I will ask his mother today.

Standard #: 22VAC40-111-180-A
Description: A review of staff/household records found that one household member did not have documentation of a current TB screening. Evidence: Household member # 2's screening expired 1/15.

Plan of Correction: He will get a TB screening.

Standard #: 22VAC40-111-200-C
Description: A review of records today found that a staff member did not have written documentation of an orientation by the provider.

Plan of Correction: I will go over the form with her.

Standard #: 22VAC40-111-240-B
Description: During today's inspection, wires were observed to be accessible to children at child height. Evidence: The three infant swings had long wires that were accessible on the floor today.

Plan of Correction: We will put them away.

Standard #: 22VAC40-111-510-C
Description: During today's inspection, four occupied rest mats at naptime were observed not to be at least 12 inches apart from each other.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-191-40-D-1-c
Description: A review of records today found that a staff member did not have results of a current criminal check. Evidence: A returned record check for Staff # 1 was sent back for more information in September, but there were no results from it.

Plan of Correction: I sent it back last week.

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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