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

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: April 24, 2019

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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The next anticipated inspection will be the provider?s renewal inspection. Provider was reminded to have all renewal application documents completed and sent into licensing office 45 days prior to expiration for processing. The renewal application is available on the VDSS website.

Comments:
Today an unannounced Monitoring inspection took place between 11:20am and 1:30pm. There were 10 children present with the provider and 2 assistants for a total of 21 points within the supervision guidelines. The children were observed eating lunch (ham and cheese sandwhich on wheat bread, bananas, cooked carrots and milk) playing basketball outside and playing with a parachute, coming inside to wash hands and take naps. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Positive interactions between the caregivers and children were observed. The provider is not MAT trained and has stated that there is no medication kept on site. Thank you for your cooperation. If you have any questions, please email me at whitney.mcgrath@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical exam prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child #1 (first date of attendance: approx. 8/2018) and Child #3 (first date of attendance: 10/20/2016) files did not contain documentation of a physical exam.

Plan of Correction: I text the parents today. I will provide the parents with the health form to be filled out by the doctor.

Standard #: 22VAC40-111-120-B
Description: Based on record review, staff records did not contain all required information. Evidence: Staff #3 file did not contain a second reference check.

Plan of Correction: I can do it this week.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records do not contain all required information. Evidence: Child #1 file does not contain documentation of the child's first date of attendance, a signed acknowledgement of the providers liability declaration, the providers medication policy or the providers emergency preparedness plan. Child #2 file does not contain a signed acknowledgement of the providers liability declaration, the providers medication policy or the providers emergency preparedness plan. Child #3 and Child #4 files do not contain a signed acknowledgement of the provider's medication policy.

Plan of Correction: I'll have the parents sign off on the missing forms today.

Standard #: 22VAC40-111-210-A
Description: Based on record review and interview, caregiver's have not completed a minimum of 16 hours of training annually in areas relevant to their job responsibilities. Evidence: Caregiver #1has documentation of 1 training hour since 4/2018. Caregiver #2 has documentation of 10 hours since 8/2017. Caregiver #3 does not have documentation of any training.

Plan of Correction: The provider stated that she thinks she completed a 10 hour training in September or October. I can make sure that they get 16 hours done by the end of the year.

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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