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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Nattaya Cleary
4010 Elizabeth Lane
Fairfax, VA 22032
(571) 309-7061

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Oct. 27, 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 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 displaying the daily menu on the board for parents to view when dropping off children.

An unannounced initial inspection was conducted today from 8:00am-10:15am. At the time of inspection, 4 children (9 points) were directly supervised by the provider and one assistants. Three rooms in the family day home are used for child care. There is a large outdoor area for the children with play equipment. The sample size consisted of 4 children records, 1 household member record, and 2 caregiver records. There were no medications on site today and the provider is MAT certified. Children were observed during breakfast time, engaged in group play, drawing, and listening to stories with the provider. There was an abundant supply of books, toys, and developmentally appropriate materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector at

Standard #: 22VAC40-111-790
Description: Based on observation of posted documents, required emergency telephone numbers were not posted. Evidence: The local dial number for police, fire, and emergency medical responders, the responsible person for emergency backup care, and the regional poison control center telephone numbers were not posted in the family day home.

Plan of Correction: I will have them posted on the refrigerator.

Standard #: 22VAC40-111-240-A
Description: Based on observation, 1 of 2 cribs in the family day home did not meet new mandatory Consumer Product Safety Commission (CPSC) crib safety standards. 1. Crib #2 was manufactured before June 28, 2011 and had a tracking label dated April 2006.

Plan of Correction: I will have the old crib removed and replace with a new crib when I have more infants.

Standard #: 22VAC40-111-280
Description: Based on observation, potentially poisonous substances were not stored in areas inaccessible to children. Evidence: 1. Nonprescription medications were found in an unlocked cabinet in the family day home bathroom. 2. Cleaning agents and disinfectants were stored in an unlocked cabinet below the bathroom sink.

Plan of Correction: I will buy the locks this weekend and correct.

Standard #: 22VAC40-111-330-A
Description: Based on observation, a landline telephone, excluding a cordless or cell phone, was not available, operable, and accessible during the family day home's hours of operation. Evidence: The family day home only had a cordless landline telephone.

Plan of Correction: I will buy a corded phone for the home.

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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