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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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Jennifer Senzano
6405 Meriwether Lane
Springfield, VA 22150
(703) 944-1607

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: April 17, 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 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 Facilities and Programs..
63.2 Liability Insurance Disclosure

Technical Assistance:
Discussed with provider requirements for transporting children, MAT recertification including Auvi-Q if the need arises, background checks, handwashing

An unannounced monitoring inspection was conducted between 9:10am to 10:50am. There were 9 children (20 points) with two caregivers. The children were observed playing with toys, legos,eating snacks, getting diaper changed, using the bathroom and hand washing. Positive interactions were observed between caregivers and children. 6 children's records and 3 caregiver/household member records were reviewed. There were no medications on site. Areas of non-compliance are listed in the violation notice. For any questions regarding this inspection please contact me at 571-835-4718 or

Standard #: 22VAC40-111-800-B
Description: Based on record review, provider did not update the emergency plan at least annually. Evidence: The most recent annual update for the emergency plan was completed on 1/10/17. An annual update was not done after that date.

Plan of Correction: I will update the emergency plan.

Standard #: 22VAC40-111-980-A
Description: Based on record review, written permission was not obtained from the parent of each child to take the child off premises. Evidence: 1. Staff # 2 was going to drop off child # 1 to his preschool. 2. Staff # 2 took Child # 2 and Child # 3 with her to drop off Child # 1. 3. Child # 1, #2 and # 3 did not have written parental permission for transportation in their records. 4. Staff # 1 stated that she had the forms and does not know where she may have kept them.

Plan of Correction: I will try to find the forms and if I cannot find them I will ask the parents to redo them.

Standard #: 22VAC40-111-50-A
Description: Based on record review and staff interview, family day home did not maintain the written attendance each day. Evidence: Upon request to see the attendance for the day, Staff # 1 stated that she had not completed the attendance for the day. Written attendance was not available for review during the inspection.

Plan of Correction: Provider completed the attendance during the inspection.

Standard #: 22VAC40-111-60-A
Description: Based on record review, provider did not maintain an up to date record for children at the family day home. Evidence: Child # 4's record was last updated on 1/16/17. Child # 4's record was not updated within the year.

Plan of Correction: I will have the parents update the record.

Standard #: 22VAC40-111-460-D
Description: Based on record review and staff interview, provider did not maintain documentation of the current rabies vaccination. Evidence: 1. Provider did not have the current rabies vaccination records available for pet dog during the previous inspection on 11/29/17. 2. The current rabies vaccination record was not available to review during this inspection. Staff # 1 stated that they have not had the chance to get the records.

Plan of Correction: We will pick them up as soon as possible.

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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