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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Brittney Duff
1400 N. Dinwiddie Street
Sterling, VA 20164
(703) 622-6704

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: June 27, 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 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
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:
Discussed with provider: Gate for the day care room stairs, relocation of the diapering area to nearer a water source.

An announced Initial inspection was conducted today. There are 7 children (16 points) with 2 adults, including 2 of the provide's own children. 4 adult and 5 children's files were reviewed. See violation notice for missing items. I cannot submit your application for approval until I have received documentation of the fireplace inspection. If you have any questions regarding this inspection, please contact me at 703-479-4678. Due to case load adjustments, your next inspection may be with a different inspector. All inspectors carry ID badges or business cards for identification purposes. LI was present today from 9:30 AM - 11:45 AM.

Standard #: 22VAC40-111-800-A
Description: There is no written Emergency preparedness plan.

Plan of Correction: Plan was completed during the inspection.

Standard #: 22VAC40-111-120-B
Description: Based upon a review of files, one adult file is incomplete Evidence: Adult B's file does not contain documentation of a second reference.

Plan of Correction: I will have the model DSS form completed by a second person.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, children's files are incomplete. Evidence: 5 files were reviewed. Missing information includes but may not be limited to: *Emergency contacts, including names and addresses. (children 2, 4, 5) *Health insurance information (Children 1, 2, 5) *Parent information (Child 4)

Plan of Correction: I will have the parents complete the information on the forms.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of files, children's files do not contain documentation of written acknowledgment of all required policies and procedures. Evidence: 5 files were reviewed. Missing information includes but may not be limited to: *Provisions of the Emergency preparedness plan (Children 1-5) *Termination policy (Child 1, 4) *Information for parents, check in and out policy, schedule of the day. (Child 4)

Plan of Correction: I will complete requires information of the files.

Standard #: 22VAC40-111-90-A
Description: Based upon a review of files, one file does not contain an immunization record prior to the first day of attendance. Evidence: Child 4 had no immunization record on file.

Plan of Correction: The parent is working to obtain the shot record. It wil be provided as soon as possible.

Standard #: 22VAC40-111-320-G
Description: Based upon Provider's statement, the fireplace has not been inspected.

Plan of Correction: A fireplace has been scheduled for 6/29.

Standard #: 22VAC40-111-520-A
Description: Based upon direct observation, one infant was not sleeping in a crib. Evidence: At LI arrival, one infant was sleeping in a swing. A crib is available; however, it needs to be assembled for use by the infant.

Plan of Correction: I will have the crib assembled tonight.

Standard #: 22VAC40-191-40-C-1-a
Description: Based upon a review of files, adult files are incomplete. Evidence: Adult C, D are missing a completed Sworn disclosure statement. (SDS)

Plan of Correction: I will have the forms completed tonight.

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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