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Karin Zacharias
1210 Summerfield Drive
Herndon, VA 20170
(703) 869-4931

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

Inspection Date: April 12, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-111 Transportation
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted today. The provider and one assistant caregiver were caring for 9 children, totaling 20 points. Children's records, staff records, background checks, children's nutrition, emergency preparedness items, and the physical plant were inspected today. The children were observed playing with toys, engaging in creative play activities, and eating lunch. The children were served pupusas with beef and beans, apples, cole slaw, and milk for lunch today. This inspection was completed between approximately 11:30am and 1:00pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of children's health records, it was determined that the provider did not obtain a physical exam report for one child within 30 days of his enrollment. Evidence: Child #4 entered care in 11/17. The provider has not obtained a physical exam report for this child.

Plan of Correction: I will remind the parent to bring the health form.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that one record was not complete. Evidence: Child record #4 does not include the parent's medical insurance policy ID number.

Plan of Correction: I will ask the parent for the information.

Standard #: 22VAC40-111-90-A
Description: Based on a review of children's health records, it was determined that one record does not include a shot record. Evidence: Child record #4 does not include a shot record.

Plan of Correction: I will remind the parent to bring the shot 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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