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Balinda Bordley
8308 Orville Street
Alexandria, VA 22309
(703) 780-2948

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: June 13, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Licensure and Registration Procedures
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An announced Initial inspection was conducted today. One child is enrolled; however, not present during today's inspection. File requirements were reviewed with the provider. The child's shot record must be on file today. The law allows 7 days from today to see and document the child's birth certificate, and 30 days from today's date to see the child's physical. The license age range will begin at 13 months as there is no crib available for infants. All original background searches were observed during today's inspection. I cannot submit your application for approval until I see the results of the chimney inspection. Due to case load adjustments, your next inspection will be with a different inspector. Inspectors carry ID badges for security purposes. LI was present today 10:00 AM - 11:10 AM

Violations:
Standard #: 22VAC40-111-60-B
Description: Based upon a review of one child's file, the file is incomplete. Evidence: Child 1's file is missing: father's information, complete emergency contact information (address), doctor's information, health insurance information.

Plan of Correction: I have the aprent complete the model DSS forms for the child.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of files, there is no documentation that parents have been provided all required policies and procedures. Evidence: One child's file was missing written acknowledgement that parents are provided all required policies and procedures. Missing information includes but is not limited to: Custodial right's statement, DSS web site address, check in/out procedures, termination policy.

Plan of Correction: I will complete the model DSS form and have the parent sign the forms.

Standard #: 22VAC40-111-320-G
Description: Based upon a review of documentation, there is no chimney inspection available for review. While the chimney is not used, it is not permanently disabled and must be inspected.

Plan of Correction: An inspection was scheduled during today's visit.

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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