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Elisa Zewide
7900 Gunston Woods Place
Lorton, VA 22079
(703) 678-5044

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: Feb. 15, 2019

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
22VAC40-191 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 monitoring inspection was conducted today from 11:15am-2:30pm. There were 5 children (9 points) directly supervised by the provider. The home, 1 staff record, 5 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely, playing with Legos, drinking milk, and napping. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified on the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on observation, it was determined that the first aid kit was incomplete. Evidence: The first aid kit was missing 2 triangular bandages.

Plan of Correction: We will get two triangular bandages.

Standard #: 22VAC40-111-770
Description: Based on review of emergency supplies and interview, it was determined that the battery-operated radio did not have working batteries. Evidence: The portable battery-operated weather band radio did not have working batteries, there were no batteries for the radio during the inspection.

Plan of Correction: We will get new batteries for the radio.

Standard #: 22VAC40-111-800-A
Description: Based on record review and interview, it was determined that the family day home did not have a written emergency preparedness and response plan for the home. Evidence: There wasn't a written emergency preparedness and response plan for the home during the inspection.

Plan of Correction: We will work on the emergency within the next three weeks.

Standard #: 22VAC40-111-110-B
Description: Based on record review, it was determined that a physical examination was not signed by the child's licensed physician, the physician's designee, or an official of a local health department. Evidence: Child#1 has a physical examination form on file that was not signed by the child's physician, the physician's designee, or an official of a local health department. The child's first day of attendance was documented as 11/5/2018.

Plan of Correction: We will ask the parents to bring a new physical.

Standard #: 22VAC40-111-60-B
Description: Based on record review, it was determined that children's records were incomplete. Evidence: Child#1's record is missing the name of the child's physician, their address and telephone number and the child's policy number. Child#3's record is missing the father's work telephone number.

Plan of Correction: We will get the information from the parents.

Standard #: 22VAC40-111-170-A
Description: Based on record review, it was determined that tuberculosis (TB) screening/test was not obtained for all household members. Evidence: The records of Household member#2 and #3 do not contain TB screening/tests.

Plan of Correction: We will get a new TB test/screening.

Standard #: 22VAC40-111-180-A
Description: Based on record review, it was determined that a household member did not have their report of tuberculosis screening form updated every two years. Evidence: Household member#1's record contains a TB test/screening that expired on 10/1/2017.

Plan of Correction: We will get an updated TB test/screening by next week.

Standard #: 22VAC40-111-320-B
Description: Based on observations, not all outlets had child-resistant protective covers. Evidence: In the programming area, under the children's coat rack, two outlets were observed without child-resistant protective covers.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-191-60-B
Description: Based on review of records and interview with the provider, the provider did not obtain a Sworn Disclosure Statement for a household member. Evidence: Household member#3 did not have documentation of a Sworn Disclosure Statement.

Plan of Correction: Corrected during the 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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