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Kim Kristine
3612 West Ox Road
Fairfax, VA 22033
(703) 508-4965

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Sept. 30, 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
22VAC40-80 THE LICENSE.
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: Location of storage of diapering supplies; curtains; posting of emergency procedures; space between occupied cots/cribs; and documentation of Proof of Identity. Background checks are only effective from the State of Virginia police (not Fairfax County.)

Comments:
An unannounced monitoring inspection was conducted today from 10:30 am - 12:10 pm. There were six children present with the provider and assistant for 18 points. I observed children busy in their day: building with Legos; singing the Itsy Bitsy Spider and songs from Veggietales; playing with cars; involved in dramatic play and listening to story books. Outdoor areas were not inspected due to the weather. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-70-A
Description: During a review of children's records today, it was found that parents were not notified in writing of all required information. Evidence: Because the second page of the Parent Information Form was not available, there was no documentation of items on the second page such as policies for termination of care; notification of where parents can access licensing standard information; and information for the parent regarding the responsibilities of the provider.

Plan of Correction: All parents will have the second page signed and completed.

Standard #: 22VAC40-111-70-B
Description: During today's review of records, it was found that a parent's written acknowledgement of required information was not present in one child's file. Evidence: There was only one page for the "Information for Parents," so the signature page was not present.

Plan of Correction: I will get the second page of the form and have all parents sign it.

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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