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Maria Giraldez
20866 Derrydale Square
Sterling, VA 20165
(703) 987-6037

Current Inspector: Mary J. Wizbicki (703) 479-4707

Inspection Date: May 18, 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 Emergencies
22VAC40-111 Nutrition
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed the following with the Provider: - TB testing and procedures if testing is positive. - Location of the Emergency Preparedness Plan.

Comments:
An announced inital inspection began today at 11:15am. The physical plant, 4 caregiver/household member files, 4 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected today. There were 4 children, totaling 10 points, under the supervision of 2 caregivers. During the inspection, children were observed enjoying free play, listening and singing to music, and working with shapes. The interactions between the children and caregivers were seen to be positive and constructive in nature. Today, the children were served grilled cheese sandwiches, cucumber, grapes and milk. The Provider is not certified in MAT (medication administration training) and does not plan to administer medications at the FDH. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on file review, 1 out of 4 children's records does not have documentation of a physical examination within 30 days after the first day of attendance. Evidence 1. Child #4 began care on 1/3/17. There is no physical examination on file.

Plan of Correction: The Provider thought she had it. She will continue to look for it. If it is not found, she will ask the parents for a copy.

Standard #: 22VAC40-111-120-B
Description: Based on file review, 1 caregiver's record does not have all required information. Evidence 1. Caregiver #2 does not have documentation that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: The Provider called two references, but did not document this. She will complete the documentation and keep it on file.

Standard #: 22VAC40-111-90-A
Description: Based on file review, 1 out of 4 children's records does not have documentation of an immunization record prior to receiving care at the FDH. Evidence 1. Child #4 does not have an immunization record on file.

Plan of Correction: The Provider thought she had it. She will continue to look for it. If it is not found, she will ask the parents for a copy.

Standard #: 22VAC40-111-90-C
Description: Based on file review, 2 out of 4 children's records do not have additional immunizations every six months up to the age of 2 years. Evidence 1. Child #2 is 21 months old. The most recent immunization record on file was completed when the child was 2 months old. 2. Child #3 is 11 months old. The most recent immunization record on file was completed when the child was 2 months old.

Plan of Correction: The Provider will ask the parents for this.

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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