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Karlyn Davis
8851 Creekside Way
Springfield, VA 22153
(254) 466-0782

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Nov. 21, 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
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was conducted on November 21st 2017 between 11:00am and 2:00pm. There were 9 children in the direct care of 3 staff members. Children were observed eating lunch, napping, working on art projects, listening to stories, and playing with toys. The day care is spacious, clean, and organized. Staff were observed to be attentive to children's needs and consistently engaged. If you have any questions regarding this inspection please contact me at 703-554-4995 or at derek.acosta@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on record review, 1 of 3 staff records reviewed does not have all of the required information. Evidence: Staff #3 record does not have documentation that two references were contacted; including dates of contact, name of persons contacted, firms contacted, results, and signature of the person making the call.

Plan of Correction: I will redo them to place them in the file.

Standard #: 22VAC40-111-40-A
Description: Based on direct observation and record review, the family day home did not ensure that the total number of children recieving care at one time does not exceed the maximum licensed capacity of the home. Evidence: During the inspection there were 9 children in care. The capacity for the family day home is 7 children. The provider submitted zoning documentation to the licensing office on November 15th 2017 that would allow for a maximum of 12 children. in care, but the license has yet to be adjusted. Attendance records from October 30 to November 15 2017 were reviewed and the family day home was over capacity 8 of 12 days.

Plan of Correction: Paperwork was approved from the Fairfax County Planning Commission on October 23 allowing me to have 12 children in care at any one time. I understood that the zoning office would send the document to the licensing office.

Standard #: 22VAC40-111-180-A
Description: Based on record review, 1 of 3 staff records reviewed did not have documentation that each caregiver had a current report of Tuberculosis screening every two years from the date of the first screening. Evidence: Staff #2 record last documented Tuberculosis screening was conducted May 8th, 2015

Plan of Correction: Staff will turn in paperwork tomorrow morning and I will place it in the file.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on record review, 1 of 3 staff records did not contain complete background checks for an employee who works with children. Evidence: The central registry background check for Staff #2 does not contain the second page of the document, which shows the date in which the background check was conducted and by whom. The document was date stamped as received in the Office of Background investigations n December 30th 2014, February 25th 2015, and March 18th 2015.

Plan of Correction: Will resubmit the background check.

Standard #: 63.2-1720.1-B-3
Description: Based on a review of 3 staffing record, 1 of 3 records did not contain a request or the results of a central registry search for employees that have lived outside of the state of Virginia within the last five (5) years. Evidence: Staff #3 disclosed on the sworn statement that they have lived outside the state of Virginia within the last five years.

Plan of Correction: I will reach out to Texas and get the necessary paperwork.

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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