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Keila Coraspe
2827 Joseph Makell Court
Alexandria, VA 22306
(703) 765-0262

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Dec. 3, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced renewal visit was conducted today between the hours of 8:45am through 11:00am with the provider on site. There were 3 children (7 points) with the provider. A sample of 5 children's files and 2 staff/household member's files were reviewed. The children were engaged in the following: toy play, listening to music, tv time, snack, bathroom breaks and hand washing. The site was clean, organized and contained an abundant supply of developmentally appropriate materials. Interactions between the children and provider was positive. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child A (start date 12/18/2017) was missing the child's health exam. 2. Child C (start date 3/02/2018) was missing the child's health exam.

Plan of Correction: I will ask the parents for a copy of the health exams today.

Standard #: 22VAC40-111-60-B
Description: Based on record review, four of five children's records reviewed were not complete. Evidence: 1. Child A (start date 12/18/2017) was missing the child's health exam. 2. Child B (start date 2/20/2018) was missing two emergency contact addresses. 3. Child C (start date 3/02/2018) was missing the child's health exam and authorization for emergency medical care. 4. Child D (start date 9/10/2018) was missing one parent's work phone number, one emergency contact address, medical policy number and name and address of previous child care.

Plan of Correction: I will ask the parents for the information today.

Standard #: 22VAC40-111-80-A
Description: Based on record review, the provider did not obtain within 7 business days of the child's first day of attendance at the family day home, the name and location of previous day care programs. Evidence: 1. Child D (start date 9/10/2018) was missing the name and address of previous day care programs.

Plan of Correction: I will ask the parents for the information today.

Standard #: 22VAC40-111-540-A
Description: Based on observation, the provider did not securely fasten a child in a high chair with a safety strap. Evidence: 1. Two children (Age 20 months and 2 years old) were in a high chair when the inspector first arrived. Both children were not securely fastened with a safety strap.

Plan of Correction: I will make sure I fasten the children as soon as I put them in the high chair.

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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