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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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Debra Goodman
13565 Melville Lane
Chantilly, VA 20151
(703) 631-2044

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: July 30, 2018

Complaint Related: No

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

Technical Assistance:
Reviewed attendance procedures with the provider.

Today an unannounced Renewal inspection took place between 9:30am and 11:20am. There were 8 children present with the provider and 2 assistants for a total of 20 points within the supervision guidelines. The children were observed playing organized games outside. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at

Standard #: 22VAC40-111-750-D
Description: Based on observation, an over-the-counter (OTC) skin product was kept beyond it's expiration date. Evidence: Child #6 has an OTC diaper cream stored at the family day home that expired 12/2016.

Plan of Correction: I'll send it home today.

Standard #: 22VAC40-111-800-B
Description: Based on record review, the did not review their emergency preparedness and response plan at least annually. Evidence: The last documentation of the review of the provider's emergency preparedness is dated 7/1/14.

Plan of Correction: I'll do it right now.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical exam prior to or within 30 days of a child's first 30 days of attendance. Evidence: Child #3 (first date of attendance: 8/1/14), Child #4 (first date of attendance: 2/2/17) and Child #5 (first date of attendance: 10/23/17) files did not contain physical exams.

Plan of Correction: I can ask the parents again today.

Standard #: 22VAC40-111-120-B
Description: Based on record review, caregiver records did not contain all required information. Evidence: Assistant #2 file did not contain documentation that two reference checks had been completed. The provider states that she did reference checks when the employee started and thought she jotted her notes down on a scrap piece of paper.

Plan of Correction: I can do them within a week.

Standard #: 22VAC40-111-50-C
Description: Based on observation, information contained in children's records was not kept confidential. Evidence: At the last inspection the provider was reminded not to post the Supplemental page of the inspection notice (See technical assistance). At today's inspection, the Supplemental page, which contained the children's names, from the last inspection was posted.

Plan of Correction: This was corrected during the inspection.

Standard #: 22VAC40-111-200-A
Description: Based on record review, the provider did not have documentation of orientating an assistant caregiver of their job duties. Evidence: Assistant #2 file did not contain documentation of having received orientation training. The provider states that did the training with the assistant.

Plan of Correction: I can do them within a week.

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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