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Dina Revollo
6526 Roosevelt Street
Falls church, VA 22043
(703) 241-3827

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: Nov. 7, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child abuse and neglect
63.2 Facilities and Programs

Comments:
An unannounced renewal inspection was conducted today from 11:45am-2:00pm. There were 10 children (33 points) supervised by 3 direct care staff. The home, 3 caregiver records, 5 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 listening to music, napping, playing with cars, and engaging in free play. Diapering, hand washing, and bottle-feeding procedures were also observed. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, 2 of 3 bottles were not labeled with the child's full name. Evidence: Child #2 (date of birth: 8/22/2018) had 2 bottles that were not labeled with the child's name.

Plan of Correction: I will ask the parents to put the names on starting tomorrow.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 5 children's records did not contain all of the required information. Evidence: Child #8's (start date: 9/5/2017) did not contain documentation of a completed physical form signed by a physician, and parent acknowledgement of annual review of emergency contact information.

Plan of Correction: I will ask the parents for the missing information this evening.

Standard #: 22VAC40-111-320-A
Description: Based on observation, 2 small electrical appliances were not unplugged and were not being used by the caregiver or with children under close supervision. Evidence: A toaster oven and a blender in the kitchen were plugged in and were not in use.

Plan of Correction: Corrected during the time of inspection.

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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