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

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date:

Complaint Related: No

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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