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Lilian Ramirez
1637 Bennington Hallow Lane
Reston, VA 20194
(571) 699-6615

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Dec. 11, 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.
22VAC40-80 THE LICENSING PROCESS.
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.

Technical Assistance:
The application is not considered to be complete until the background checks are reviewed.

Comments:
An announced initial study was conducted today from 9:30am to 11:10am. 3 children (9points) and 2 caregivers were present. Ratios were in compliance. The physical space, caregiver records, household member records, children's records, the Emergency Evacuation Plan, evacuation drills, emergency supplies, attendance sheets, the menu and the evacuation map were reviewed. Required documents were posted. The space was clean and organized. An ample supply of age appropriate materials were available for the children to play with. Areas of non-compliance are identified in the Violation Notice. For questions regarding this inspection, please contact stephanie.salvatori@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of 3 children's records, the provider did not obtain documentation of a physical examination within 30 days after the first date of attendance. Evidence: Child #1 started on 3/20/2017, Child #2 started on 10/21/2017 and Child #3 started on 10/10/2017. All three children had immunization records but no health form with evidence of a physical examination.

Plan of Correction: I will ask all of the parents to obtain the needed documentation. (Provider printed out the Health Form while LI was present so parents would have the form this afternoon.)

Standard #: 22VAC40-111-60-B
Description: Based on review of three children?s records, the provider did not maintain complete children?s records. Evidence: Parent's addresses were missing for Child #1 & Child #2. Work addresses and/or work phone numbers, Emergency contact addresses and Medical Insurance Policy Numbers were missing for Child #1, #2 & #3. A signed Liability Insurance Declaration was missing for Child #2.

Plan of Correction: We will ask the parents for the information right away.

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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