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Carolyn Johnson
908 N. Watford Street
Sterling, VA 20164
(703) 421-0478

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: March 12, 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 Emergencies
22VAC40-111 Nutrition
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was initiated today. The physical plant, 3 caregiver/household member files, 5 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected on-site today between 2:00pm and 3:15pm. There were 5 children (plus the Provider's daughter), totaling 12 points, under the supervision of the Provider. Today, the children participated in circle time (learning ABC's and colors), free play, listened to storytime, ate lunch and rested at nap time. The interactions between the children and caregivers were seen to be positive and constructive in nature. The children were served fish sticks, tater tots, green beans and milk for lunch. The Provider is not currently certified in MAT (medication administration training) and there are no children with any medication needs. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observations and interview, the FDH does not have a posted menu for the current one-week period.

Plan of Correction: The Provider will complete and post this.

Standard #: 22VAC40-111-70-A
Description: Based on file review, 1 out of 5 children's records does not have all required information on file. Evidence 1. Child #3 does not have a signed "Information for Parents" form on file.

Plan of Correction: The Provider will ask the parent to sign this.

Standard #: 22VAC40-111-90-C
Description: Based on file review, 1 out of 5 children's records does not have documentation of additional immunizations once every six months up to the age of 2 years. Evidence 1. Child #4 is 2 years old. The most recent immunization record on file was completed when the child was 14 months old.

Plan of Correction: The Provider will ask the parent for the most recent immunization record.

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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