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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: Jan. 12, 2017

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.
22VAC40-80 THE LICENSING PROCESS.
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 verification of original birth certificates & passports; cleaning and sanitizing the diapering area with bleach solution; cutting food for toddlers; and toilet training.

Comments:
An unannounced renewal inspection was conducted from 11:30 am - 1:15 pm. There were six children present with the provider and assistant for 14 points. I observed children working with play dough, doing movement activities; involved in dramatic play, listening to a story, singing songs, eating lunch, brushing teeth and preparation for nap. Social skills were being practiced and early literacy skills encouraged. Records were well-organized. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-760-A-1
Description: A review of the first aid kit today found one item missing. Evidence: There was only one triangular bandage available (two are required.)

Plan of Correction: I will get a second one.

Standard #: 22VAC40-111-770
Description: During today's inspection, the battery operated radio was not operational.

Plan of Correction: I will get new batteries.

Standard #: 22VAC40-111-100-A
Description: Based on a review of records today, the provider did not obtain documentation of a physical examination for all children within 30 days of attendance as required. Evidence: There was no documentation of a physical exam for Child # 1, 4 and 6. All of these children were in care over 30 days.

Plan of Correction: I will talk to the parents today.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records today, not all required information was completed in children's files. Evidence: There was incomplete or no emergency contacts with phone and addresses for Child # 2 and 6. There was incomplete information regarding medical insurance for Child # 1, 2, 5 and 6. The authorization for emergency treatment was not signed for Child #2.

Plan of Correction: I will go over the files and have all the information complete.

Standard #: 22VAC40-111-70-A
Description: Based on record review today, not all parents were provided in writing with all the required information before the child's first day of attendance. Evidence: The parents did not all view the second page of the Medication Policy and the second page of the Information for Parents that includes required information.

Plan of Correction: Parents will be given the second page today.

Standard #: 22VAC40-111-80-A
Description: Based on a review of records today, it was found that the provider did not obtain from a parent proof of identification as required. Evidence: There was no proof of identity documented for Child # 2, who began care 9/16.

Plan of Correction: I will talk to the parent today.

Standard #: 22VAC40-111-240-A
Description: During today's inspection, some areas in the backyard were observed to not be maintained in a safe condition. Evidence: The gate at the top of the concrete stairs as it was today was observed to not be secure enough to prevent a fall. A looped cable wire from a cable television dish was accessible at child height, and a green wire was accessible on the stair railing.

Plan of Correction: This will be fixed before the children go outside.

Standard #: 22VAC40-111-250-A
Description: During today's inspection, it was observed that a hanging item was not kept out of reach of children under age five as required. Evidence: A long (over 5 feet) scarf was observed tied to the doorknobs of to the naproom where it was accessible to children under age five.

Plan of Correction: It was there to keep the younger children from going into the naproom too early. We will not put it there again.

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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