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Carlos Avila
7118 Terry Lane
Falls church, VA 22042
(703) 587-5793

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: Jan. 26, 2018

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.
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:
Background checks.

Comments:
An unannounced monitoring inspection was conducted today from 10:50am-1:00pm. There were 4 children (8 points) directly supervised by the provider. The home, 1 staff records, 4 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, singing, practicing letters, numbers, colors, eating lunch and transitioning into naptime. Today's lunch consisted of chicken, noodles, and vegetable soup, with blueberries and milk. There was an abundant supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review of emergency supplies, the first aid kit was not complete. Evidence: The first aid kit was missing 1 of 2 required triangular bandages.

Plan of Correction: I will make one by next week.

Standard #: 22VAC40-111-830-C
Description: Based on review of emergency drills, the provider did not have documentation of shelter-in-place drills. Evidence: The provider did not have documentation that 2 shelter-in-place drills were practiced annually.

Plan of Correction: I will document all shelter-in-place drills.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider does not have documentation of a physical examination by or under the direction of a physician prior to a child's first day of attendance or within 30 days after the first day of attendance. Evidence: Child#2 and #4 do not have documentation of a physical examination in their file. Child#2's first day of attendance was 9/5/2017. child#4's first day of attendance was 11/17/2014.

Plan of Correction: I will ask them to bring a physical examination form.

Standard #: 22VAC40-111-60-A
Description: Based on record review, children's records did not contain documentation of annual updates. Evidence: The most recent update documented in child#1's record was dated 01/19/2015, child#3's last update was documented on 3/15/2016, child#4's last update was documented on 11/5/2014.

Plan of Correction: I will ask the parents to review, and update the forms.

Standard #: 22VAC40-111-60-B
Description: Based on child record review, the provider did not maintain complete children records. Evidence: Child#2's record did not have a complete address for two emergency contacts. Child#3's record did not contain the child's medical insurance policy number.

Plan of Correction: I will ask parent s to update the forms.

Standard #: 22VAC40-111-90-C
Description: Based on child record review, the provider did not obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements. Evidence: Child#1's record does not contain documentation of additional immunizations once every six months for a child in care. Child#1's last immunization record was dated 01/20/2016.

Plan of Correction: I will ask them to bring the most recent one.

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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