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Maria Arevalo
7850 Heritage Dr.
Annandale, VA 22003
(703) 608-7319

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: May 25, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An announced initial inspection was conducted today from 10:10am-12:25pm. There were 4 children (12 points) directly supervised by 2 caregivers. The home, 1 caregiver record, 4 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, completing puzzles, running and playing, watching television and eating lunch. Lunch served today was chicken soup with noodles, carrots, chicken and milk. There was a supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation and record review, the provider did not ensure all requirements for topical creams were met. Evidence: Child C and D each have a topical cream that is not labeled and do not have the child's name written on them and does not have a written authorization from the parent.

Plan of Correction: I will write the name down and give the parents the form.

Standard #: 22VAC40-111-50-A
Description: Based on record review, the provider did not maintain a written record of attendance each day. Evidence: The provider did not have a record of attendance each and and in days prior.

Plan of Correction: Provider took attendance at the time of inspection.

Standard #: 22VAC40-111-60-B
Description: Based on four records reviewed, the center did not ensure all required information was in the children's file. Evidence: 1) Child A is missing two emergency contacts. 2) Child B is missing two emergency contacts. 3) Child C is missing two emergency contacts, parent phone numbers, and parent's work information including workplace, work number and address. 4) Child D is missing written authorization for medical care, two emergency contacts, parent phone numbers, and parent's work information including workplace, work number and address.

Plan of Correction: I will talk to parents to get the information.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider did not ensure all areas inside the home were maintained in a safe and operable condition. Evidence: The white crib has a manufacture date of April 2005 and does not meet safety standards for the Consumer Product Safety Commission.

Plan of Correction: I will buy a new crib.

Standard #: 22VAC40-191-40-C-1-a
Description: Based on record review, the applicant did not have a sworn statement completed. Evidence: Caregiver A did not have a sworn statement completed.

Plan of Correction: The applicant filled out a sworn disclosure statement at the time of inspection.

Standard #: 22VAC40-191-40-C-1-b
Description: Based on record review, the provider did not ensure all household members living in the room completed the sworn statement or affirmation. Evidence: Household member A, B, and C did not have a completed sworn statement on file.

Plan of Correction: Everyone in the home will complete the statement on file and bring to the office.

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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