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Arnivayana Perez-Malespin
4900 Van Masdag Court
Annandale, VA 22003
(571) 505-6575

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: July 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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.

Technical Assistance:
-Renewal application can not be processed until missing background checks have been verified -Discussed requirements for transporting children and possible updates to liability insurance

Comments:
An unannounced renewal inspection was conducted today at the Family Day Home from 10:40am-12:50pm. A total of 3 children [7 points] were present with one caregiver. Children were observed during arts and crafts, handwashing, snack, chores and while singing nursery rhymes. Nurturing and positive interactions were observed between children in care and provider. A sample of 3 children's records and 6 caregiver/household member records were reviewed, in addition to emergency drills, emergency plan, emergency supplies, physical plant and other documents. No medications were on site. Areas of noncompliance are documented on the Violation Notice. If you have any questions, please contact me at Ivaco.Clarke@dss.virginia.gov or 571-835-5505. Thank you for your cooperation.

Violations:
Standard #: 22VAC40-191-40-D-4-a
Description: Based on a review of records, 1 of 5 household member records was missing a sworn statement when a person who lives in the home became 18 years old. Evidence: The record for Household member #2 [18 years old, as of June 2018] was missing documentation of a completed sworn statement.

Plan of Correction: I will have the household member complete the document today.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on a review of records, 1 of 5 household member records were missing a child protective services central registry check within 30 days of becoming 14 years old. Evidence: The record for household member #4 [14 years old, as of March 2018] was missing results of a central registry check.

Plan of Correction: We will fill the form out immediately and send it off.

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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