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Keith Denney
654 Pemberton Court
Herndon, VA 20170
(703) 435-2172

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: Oct. 16, 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
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.

Comments:
An unannounced renewal inspection was conducted today from 9:50am-12:45pm. There were 4 children (11 points) directly supervised by 1 staff at inspector's time of arrival. A second caregiver arrived later on during the inspection. The home, 2 staff records, 4 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, outdoors and indoors, singing, and eating lunch (Spare ribs, green beans, sweet potatoes). There was an abundant supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, one of four children records did not have written authorization for emergency medical care in case of an emergency. Evidence: During the inspection, child#3 did not have documentation on file of an authorization for emergency medical care filled out and signed by the parents.

Plan of Correction: I will talk to the parents today at pick up time.

Standard #: 22VAC40-111-180-A
Description: Based on record review, one of two caregivers did not have documentation of a current report of Tuberculosis Screening form done within two years of the last report. Evidence: During the inspection, Assistant#1 did not have documentation of a current Tuberculosis Screening form. The last TB screening form on file was dated: 10/13/2012

Plan of Correction: I will get a coy of the new TB screening test, which was done in September of 2016

Standard #: 22VAC40-111-690-D
Description: Based on observation and staff interview, the diapering surface is not cleaned and sanitized properly after each use. Evidence: Provider states that the diapering surface is sprayed with Lysol after each diaper change. Soap and water and bleach are not being used as required to adequately clean and sanitize the diapering surface.

Plan of Correction: Provider will make sure soap, water and bleach is used to sanitize the diapering area.

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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