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Audrey Bender
8323 Carrleigh Parkway
Springfield, VA 22152
(703) 866-3057

Current Inspector: Nancy Radcliffe

Inspection Date: June 13, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
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. Observed 5 children (13 points) directly supervised by 1 caregiver. A sample of 2 children's records, 2 caregiver records, and 1 household member record were reviewed. No medications were reported to be on site. The children were observed during free play, rest time, and infant care. Areas of non-compliance are identified in this report. The exit interview was conducted with the Substitute Provider. Inspection conducted from approximately 12:45pm to 1:20pm. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or anailim.dally@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-B
Description: Based upon documentation reviewed, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed/updated on 05/30/2016.

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

Standard #: 22VAC40-111-120-B
Description: Based upon documentation reviewed, a substitute provider record was incomplete. Evidence: One of the two caregiver records reviewed did not contain the name, address, and telephone number of a person to contact in case of an emergency, and documentation that two or more references were checked prior to employment (Caregiver #1; DOH 06/09/2017).

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

Standard #: 22VAC40-191-40-D-1-b
Description: Based upon documentation reviewed, a background check was not obtained prior to first day of employment. Evidence: Caregiver #1 did not have a Sworn statement or affirmation (SDS) form on file (Date of hire (DOH) 06/09/2017).

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

Standard #: 63.2-1720-F
Description: Based upon observations made and documentation reviewed, an employee was allowed to work in a position that involves direct contact with children without a completed criminal record and was not under the direct supervision of another employee for whom a background check has been completed. Evidence: Upon arrival to the Family Day Home (FDH) at approximately 12:45pm, 5 children were under the direct supervision of Caregiver #1 (DOH 06/09/2017). Caregiver #1 was alone with the children and did not have a completed criminal history (CRC) check on file. Caregiver #1 was acting as the substitute provider during today's inspection.

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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