5683 Derby Court #11
Alexandria, VA 22311
Current Inspector: Eureka Nance (703) 638-5968
Inspection Date: Oct. 17, 2016
Complaint Related: No
- Areas Reviewed:
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
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
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: foot operated trash can, shelter-in-place location
An announced Initial inspection was conducted today. There are three children for a total of 10 points with one adult. One adult and three children's files were reviewed. See violation notice for missing items. There are four cribs assembled for use with acceptable manufacture dates. Children were observed during diaper changing and enjoying playtime. Due to case load adjustments your next inspection will be with a different inspector. All inspectors carry ID badges for security purposes. LI was present from 9:30 AM - 11:00 AM.
Standard #: 22VAC40-111-920 Description: Based on observation menu was not posted in home. Plan of Correction: I will post the menu.
Standard #: 22VAC40-111-960-E Description: Based on observation bottles were not labeled and dated. Plan of Correction: I will label the bottles.
Standard #: 22VAC40-111-60-B Description: Based upon review of files, children's files are incomplete. Evidence: 2 of 3 files reviewed were missing: Father's infomration and emergency contact addresses. (Children 2,3) Plan of Correction: I will ask mother to provide information.
Standard #: 22VAC40-111-90-C Description: Based upon a review of files, 1 child's immunization form is incomplete. Evidence: There is no immunization record available for child #3. Plan of Correction: I will ask the mother to provide information.
Standard #: 22VAC40-111-690-E Description: Based on observation a diaper was not disposed of in a foot operated trash can. Plan of Correction: A foot operated can from the bathroom was relocated to the diaper changing area.
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.