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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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Ms. Phyllis King
18518 Quantico Gateway Drive
Triangle, VA 22172
(571) 212-4268

Current Inspector: Lorraine Hancock (540) 272-9214

Inspection Date: April 3, 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
63.2 Facilities and Programs..
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
*Contact the Office of Background Investigations at 804-726-7884 to obtain a Field Print code for your family day home. Once you have the Field Print code, go online to to schedule an appointment for each household member over the age of 18. Fingerprinting must be completed by September 30, 2018. Fingerprints, search of the central registry (CPS check), and Sworn Disclosure statements are now due every FIVE years.

An unannounced renewal inspection was conducted with provider. There were four children present, ranging in age from 1 year to 4 years, totalling 9 points. One new child's file and three household files reviewed - please see Supplemental Summary for missing items. Provider does not administer medication. First aid and CPR certification is valid until 2/11/2019. The children were watching an age appropriate TV show, having lunch, and laying down for rest. Lunch served today: fish, french fries, and milk. Time of today's inspection: 12:00 p.m. to 1:30 p.m. Please call me if you have any questions at 540-219-4122 or e-mail

Standard #: 22VAC40-111-900-B
Description: Based on observation, the provider failed to keep children from drinking while walking around. Evidence: Child D was walking around while drinking water from a cup.

Plan of Correction: Provider will not allow children to walk around while drinking.

Standard #: 22VAC40-111-60-B
Description: Based on review of four children's files, the provider failed to have documentation of written authorization to obtain emergency medical care should an emergency occur and the parent cannot be located immediately. Evidence: Child D did not have documentation of written authorization to get emergency medical care.

Plan of Correction: Provider will get the written authorization from the parent.

Standard #: 22VAC40-111-70-A
Description: Based on review of four children's records, the facility failed to give parents written information as required before the child's first day of attendance. Evidence: Child D did not have a signed VDSS model forms titled "Liability Insurance Declaration", "Information and Agreement", "Provisions of the Emergency Preparedness Plan"j, Policy on the Administration of Medication or an equivalent.

Plan of Correction: Provider will give the forms to the parent to sign and will put a copy in the file.

Standard #: 22VAC40-111-180-A
Description: Based on review of household files, the provider failed to have documentation of a repeat tuberculosis test or screening within two years of the previous screening. Evidence: the provider did not have documentation of a current TB test or screening for Household member 2 or Household member 3 (expired 2017).

Plan of Correction: Household members 2 and 3 will get documentation of an updated TB test or screening.

Standard #: 63.2-1809-B
Description: Based on review of four children's records, the provider failed to have documentation of each child's proof of identity on file. Evidence: Child D did not have documentation of the provider having viewed the proof of identity.

Plan of Correction: Provider will request the information from the parent.

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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