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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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Monika Jedrol
6117 Lundy Place
Burke, VA 22015
(571) 435-1863

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: Oct. 30, 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
22VAC40-80 THE LICENSE.
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:
Consultation was given on the new background requirements for finger printing, a revised Sworn Disclosure Statement for new staff hired after 7/1/2017 and requesting out of state Central Registry checks for staff who have lived outside the State of VA within the last five years. The model SDS form is online at VA DSS as well as a link to the Adam Walsh site to assist with out of state central registry forms. VDSS will be paying for initial child care fingerprint checks until 9/20/18. Please read and review all correspondences regarding the fingerprint roll out.

Comments:
An unannounced monitoring visit was conducted today from 1:50-2:50. Six children were present with two caregivers for 18 points which is within ratios for supervision. Children were observed resting during the afternoon. Home is very clean and well organized with space on the main level, sun-room for outside play time and basement area for sleeping. Reviewed training for FA/CPR certification, MEdication Administration Training (MAT) as well as annual requirements. Both caregivers are up to date. Lunch served today was hotdogs, rice with vegetables, apples and milk. Emergency drills are current as well as written plan. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-A
Description: Based on record review, 1 of 1 children's record is incomplete. Evidence: Child #1 is missing a second emergency contact.

Plan of Correction: Provider will reach out to the parent tonight for the 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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