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Ms. Lillie White
13815 Delaney Road
Dale city, VA 22193
(703) 590-9624

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: June 2, 2016

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

An unannounced monitoring study was conducted with the provider and four children for a total of seven points. The ages of the children range from two years-old through five years-old. The children were having free play during the inspection. Two household records and two children's record were reviewed. The provider is current in First Aid and CPR. Start time: 9:00 a.m. End time: 10:45 a.m.

Standard #: 22VAC40-111-60-A
Description: Based on a direct review of two children's records, the child's enrollment form was not updated annually for one record. Evidence: Child A's form should have been updated on /5/4/2016.

Plan of Correction: The provider will have the parent update and sign the form today.

Standard #: 22VAC40-111-60-B
Description: Based on a direct review of two children's records, one record was missing information. Evidence: Child A's was missing the first day of attendance and the policy number for the child's medical information.

Plan of Correction: The provider will have the missing information corrected by today.

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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