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Carla Seay
8045 Winding Way Court
Springfield, VA 22153
(703) 455-1205

Current Inspector: Kara Wright (703) 537-6241

Inspection Date: Sept. 12, 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
22VAC40-80 THE LICENSE.
63.2 General Provisions.
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.

Comments:
An unannounced monitoring inspection was conducted today from 9:10am to 10:30am. There were 7 children (16 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and doing puzzles. Diapering procedures were also observed. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (703)479-4680

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on review, the provider failed to maintain documentation of recent evacuation and shelter-in-place drills. Evidence: The provider was unable to provide documentation of recent evacuation and shelter-in-place practice drills.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-100-A
Description: Based on review, the provider failed to ensure that they obtained documentation of physical examinations for each child in care, within 30 days of the first day of attendance. Evidence: Reviewed 3 children's records and found that CH2 did not have documentation of a physical examination, and has been in care for over 30 days.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-120-B
Description: Based on review, the provider failed to ensure that all assistants and substitute provider's records contained the required documentation. Evidence: 1) Staff 2 did not have documentation of a second reference check completed prior to the first day of care 2) Staff 2 did not have documentation of emergency contact information

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on review, the provider failed to ensure that children's records contained the required minimum information. Evidence: Reviewed 3 children's records and found that... 1) CH1 did not have documentation of a phone number for the second emergency contact, and CH3 did not have a phone number and street address for both of their listed emergency contacts. 2) CH1, CH2 and CH3 did not have documentation of their medication insurance policy 3) CH3 did not have documentation of authorization for emergency medical care

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-170-A
Description: Based on review, the provider failed to obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children, a current Report of Tuberculosis Screening. Evidence: Reviewed 2 staff records and found that Staff 2 did not have documentation of a TB screening prior to coming into contact with children.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-180-A
Description: Based on review, the provider failed to obtain documentation of a subsequent TB screening within every two years of the first screening. Evidence: Reviewed 2 staff records and 1 household member's record, and found that Staff 1 did not have documentation of a subsequent TB screening completed within the last 2 years.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review, the provider failed to ensure that family day home operators employees or persons living in the home who is required to have the background checks, must have a sworn statement of affirmation, search of central registry and criminal history check before three years since the dates of the last checks. Evidence: Reviewed 2 staff records and 1 household record and found that... 1) Staff 1's last sworn statement was documented on 6/3/13, Household Member's last sworn statement was dated 6/3/13 2) Staff 1's last CPS search was dated 5/29/13, Household Member's last CPS search was dated 5/17/13 3) Staff 1's last criminal history search was dated 5/3/13, Household Member's last criminal history search was dated 4/30/13

Plan of Correction: Not available online. Contact Inspector for more information.

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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