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Miriam Ayala
104 S. Iris Street
Alexandria, VA 22304
(703) 370-0252

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Nov. 20, 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
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
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:
The family day home does not currently have children in need of medication, however the policy states that the family day home will administer medications to children if needed. On the date of inspection, neither the provider or substitute provider were fount to have current Medication Administration Training. Please wither locate the certificates, attend an approved Medication Administration Training or change the medication policy to reflect that the family day home does not administer medications.

Comments:
An unannounced monitoring inspection was conducted today, November 20, 2017 from approximately 12:15pm-1:25pm. The substitute provider was observed caring for two children (6 points) during nap time. The provider is currently out of the country and the family day home has been operated by the substitute provider since Wednesday November 15th. The indoor home area was found to be organized and well supplied. The outdoor area is not being used by children as it is undergoing construction. An inspection of the outdoor area will be conducted when the construction is completed. An plan of correction was not discussed on this date as the provider was not available. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return to the licensing inspector by November 24, 2017. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on record review, an emergency evacuation drill was not practiced monthly. Evidence: There was no emergency evacuation drill documented for October 2017.

Plan of Correction: Drill record has been updated. Drills will continue to be documented.

Standard #: 22VAC40-111-140-D
Description: Based on observation and caregiver statement, the substitute provider does not record and sign the time of arrivals and departures on each day that she works. Evidence: There is no record in the family day home that shows the hours the substitute provider is working.

Plan of Correction: There is now an updated sign-in sign out form for the substitute provider.

Standard #: 22VAC40-111-200-A
Description: Based on record review, the provider did not orient the substitute provider and assistant by the end of their first week of assuming job responsibilities. Evidence: There was no record of Staff 2 having received an orientation by the end of their first week of assuming job responsibilities.

Plan of Correction: The record has been updated. The substitute provider is very experienced and knows expectations and responsibilities.

Standard #: 22VAC40-111-530-A
Description: Based on observation, not all rest mats used by napping children had linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges. Evidence: Child A was observed sleeping on a rest mat with only a blanket.

Plan of Correction: New sheets have been made available for children and to comply with requirements. [sic]

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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