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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Marina Graetzer
2906 Swanee Lane
Fairfax, VA 22031
(571) 359-9396

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: Jan. 30, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 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 Emergencies
22VAC40-111 Nutrition

Technical Assistance:
Reviewed the timing for the completion of all required fingerprint background checks. Discussed how to accurately document each month's emergency evacuation drill.

An unannounced full renewal inspection was conducted today. The provider and one assistant caregiver were caring for 3 children, totaling 6 points. Children's records, adult records, caregiver training, children's nutrition, emergency preparedness items, and the physical plant were inspected today. It was reported to the Inspector that no children's medications were on site today. The children were observed playing with toys, engaging in creative play with stuffed animals, assembling a train set, and completing academic work. This inspection was completed between approximately 10:00am and 11:20am. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that two records were not complete. Evidence: 1. Child record #1does not include: the information for a second emergency contact person. 2. Child record #2 does not include: the information for a second emergency contact person; the provider's signature indicating that she has viewed the child's original proof of identification; the parent's signature authorizing the provide to obtain emergency medical care if needed.

Plan of Correction: The parents will be reminded that I need the information today. I saw the birth certificate but forgot to document it. I will document it today.

Standard #: 22VAC40-111-70-A
Description: Based on a review of children's records, it was determined that two files do not include documentation showing that the parents have been given all required enrollment information in writing. Evidence: Child record #1 and #2 do not include a signed "Information for Parents" document. The provider has an enrollment handbook, but this handbook does not include all information that is is included on the Information for Parents document.

Plan of Correction: I gave the form to the parents. I will remind them to sign and return it at drop off tomorrow.

Standard #: 22VAC40-111-320-B
Description: Based on observations, it was determined that one electrical outlet was not covered. Evidence: One electrical outlet next to the children's work table area was not covered.

Plan of Correction: The outlet was immediately covered during the inspection.

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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