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Luz Rodriguez
3070 Hazelton Street
Falls church, VA 22044
(703) 625-8056

Current Inspector: Sharlene Sawyer (571) 835-5505

Inspection Date: Oct. 5, 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
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Consultation was given on the free pre-service training that is available at The training is required for any subsidy provider but is available for all caregivers for the next 12 months. Please update written emergency plan by the end of October.

An unannounced monitoring visit was conducted today. Nine children were present with three caregivers. The majority of the children were resting upon the Inspector's arrival. Lunch is brought from home for each child. Please double check refrigerator temperature to ensure thermometer is working correctly as the fridge felt cold but was registering at 45 degrees. Attendance was complete. The provider completed some home renovation work over the summer and now has a covered space for children to use even if it is raining. No medication was reported to be on-site. Areas of non-compliance are identified in this report. Please sign and date the report and return it to me within 10 calendar days from date of receipt. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0806

Standard #: 22VAC40-111-830-A
Description: Based on log and provider statement, an evacuation drill was not conducted monthly. Evidence: No drill was conducted for the month of September.

Plan of Correction: We already made two times in October. See copy attached.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 3 children's records were incomplete. Evidence: Child #1 was missing the parent hospitalization policy number.

Plan of Correction: Already mother brought the information. Sending copy of child's record policy #.

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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