4833 Carriage Park Road
Fairfax, VA 22032
Current Inspector: Mahrukh Aziz (571) 835-4718
Inspection Date: Feb. 7, 2017
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
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:
1.Technical assistance today included forms for background checks (Criminal Background, Search of the Child Protective Registry and the Sworn Disclosure Statement (which does not get mailed) ; assistants records; and children's records. We also discussed menus, attendance, crib safety and the Information for Parents form. 2. Cribs: Paperwork is needed from the manufacturer in order to use the extra crib for children in care. It must state that it was manufactured after June 2011. It cannot be used until the date of manufacture is determined.
An unannounced renewal inspection was conducted today from 10:15 am -12:15 pm. There were 8 children present with the provider and assistant for 22 points. I observed children playing with toys, listening to a story, running and preparing for lunch. If you have any questions, please contact me at email@example.com
Standard #: 22VAC40-111-730-D Description: During today's inspection, a bottle of medication was observed to be loose in the refrigerator. Evidence: A bottle of children's medication was unlabeled and unlocked in the refrigerator in the children's playroom. Plan of Correction: It is for my granddaughter. I will put it upstairs.
Standard #: 22VAC40-111-120-B Description: During a review of records today, the assistant provider's file did not contain the required information. Evidence: There was no documentation of name, address, date of hire, emergency contact information, written references, and information about experience and education. Plan of Correction: She will fill out the form.
Standard #: 22VAC40-111-70-A Description: During a review of children's records today, it was found that some parents were not provided in writing information required before the first date of attendance. Evidence: There was no "Information for Parents" form completed for Child # 1 and Child #2 to explain food, discipline, termination, address of DSS, check in policies, etc. A medication policy was signed by the parent of Child # 2, but no boxes were checked that indicate the provider's medication policy. Plan of Correction: We will fill out the forms and give to the parents.
Standard #: 22VAC40-111-80-C Description: During a review of records today, it was found that not all proof of identification information was documented in the children's records as required. Evidence: A review of files found that the proof of identity was no documented as verified and signed by the provider for Child # 2, 3, 4, 5, 6, 7. Plan of Correction: We will write in all the information from the birth certificate.
Standard #: 22VAC40-111-200-A Description: During a review of records today, there were not all required training documents for the new assistant. Evidence: There was no orientation document signed by the new assistant provider by the end of her first week. Plan of Correction: We will get it off the computer and sign it.
Standard #: 22VAC40-111-210-A Description: During a review of records today, it was found that the provider did not obtain a minimum of 16 hours of annual training as required. Evidence: The provider had proof of three hours of training. Plan of Correction: I did not know the MAT training did not count.
Standard #: 22VAC40-111-240-A Description: During today's inspection, some areas and furnishing of the home were observed not to be maintained in a safe and operable condition. Evidence: In the playroom, the loose handle from the cabinet was protruding outward. There were small stickers on the sliding class doors that had tiny plastic eyes that could be swallowed. Outdoors: The child-sized bench had a broken metal frame and was rusting. The microwave dish had a cord that was accessible. Plan of Correction: We will fix the handle. The stickers were taken off. We have not been outside in awhile because of the weather. We will fix it before we go outside with the children.
Standard #: 22VAC40-111-500-C Description: Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22VAC40-191-40-D-1-c Description: During a review of staff and household files today, it was found that not all adults in the home had current background checks updated every three years as required. This was previously cited 12/5/16. Evidence: The provider did not have a current Search of the Child Protective Registry and Criminal Background Check. The current ones expired 3/16. Additionally, there was no completed Sworn Disclosure Statement as required before beginning for the new assistant who began 1/9/17. Plan of Correction: The provider had copies that showed that the Central Registry form was mailed but returned due to an administrative error on the payment. The copies of the correct Criminal Background Check forms for the provider were found online and the provider reports that she will get these in the mail as soon as possible. She will fill it out today.
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.