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Laura Marshall-Norris
12541 Bunche Road
Fairfax, VA 22030
(703) 929-2625

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: Dec. 13, 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
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:
Discussed background Code changes that became effective 7/1/17 and the upcoming fingerprint requirements for all staff and household member. Please be sure to submit your renewal application prior to the expiration of your license.

Comments:
An unannounced Renewal inspection was conducted this date. A total of 3 children present (9pts) with provider present. Children were observed free playing on the middle level of the home and singing nursery rhymes. The home was decorated for the holidays. Walk thru of home conducted. The lower level used for programming was equipped with ample toys, equipment and educational materials that were determined age appropriate for the children in care. One crib currently in use. No medications at this time and no allergies at this time. Discussion on the importance of obtaining health information on children enrolled and the need to maintain complete records. A total of 3 childrens records, provider and two household records were reviewed. This inspection began at 9:25am and ended at 11:20am. Thank you for your cooperation today. Please email me: lisa.hudson@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on child record review, a physical exam was not obtained for one child. Evidence: Child #2 began care on 8/16/17. No documentation of a physical exam was found for this child.

Plan of Correction: I will obtain this documentation from the parent this week.

Standard #: 22VAC40-111-60-A
Description: Based on child record review, one record was not maintained and one record was incomplete. Evidence: No record was found for Child #1. Provider was unable to locate the record. Child #2 began care on 8/16/17, no documentation of the child's physician and phone number was found. Child #2 was missing a second emergency contact.

Plan of Correction: I will locate the record or obtain all information required from the parent again.

Standard #: 22VAC40-111-90-A
Description: Based on child record review, immunizations were not obtained for one child. Evidence: Child #2 began care on 8/16/17. no documentation found that the child has been adequately immunized.

Plan of Correction: I will obtain this information from the parent this week.

Standard #: 22VAC40-111-180-A
Description: Based on household record review, subsequent TB screenings were not completed. Evidence: Household member #1's last TB screening on file is dated 6/12/15. Household member #2's last TB screening is dated 8/7/14.

Plan of Correction: Both household members will obtain a TB screening this month.

Standard #: 22VAC40-111-320-I
Description: Based on observation of the physical plant, provider has not complied with recommendations to eliminate fire hazards. Evidence: The smoke detector located at the bottom of the steps on the level where programming is held was beeping during the licensing inspection and requires a new battery.

Plan of Correction: I will replace with a new battery today.

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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