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Giuliana Grayson-Deza
45521 Lake Haven Terrace
Sterling, VA 20165
(571) 434-0452

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: April 16, 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.

Technical Assistance:
The provider is currently zoned to care for 9 children in her home. The provider has submitted an application to have her FDH capacity increased to 12 children. There is a public hearing scheduled for September 2019. Also discussed infant's pacifiers.

Comments:
Today an unannounced Monitoring inspection took place between 10:30am and 12:15pm. There were 8 children present with the provider and 2 assistant for a total of 20 points within the supervision guidelines. The children were observed coloring worksheets, eating lunch (chicken nuggets, rice, peas and carrots and milk) and nappinge . A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. There is an ample amount of toys and activities for the children. Positive interactions between the children and caregivers was observed. Thank you for your cooperation. If you have any questions, please email me at whitney.mcgrath@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-60-A
Description: Based on record review, children's records do not contain all required information. Evidence: Child #3's registration form states that the child has a cow milk intolerance. The provider has not obtained instructions regarding actions to take in an emergency situation.

Plan of Correction: I will ask the parents today when the come to pick.

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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