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Dina Revollo
6526 Roosevelt Street
Falls church, VA 22043
(703) 241-3827

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: May 7, 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 Emergencies
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child abuse and neglect
63.2 Facilities and Programs

Comments:
An unannounced monitoring inspection was conducted today from 12:00pm-1:30pm. There were 8 children (17 points) supervised by 2 direct care staff. The home, 2 staff records, 4 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed singing, playing in home living, engaging in free play, and napping. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, 1 of 4 children's records did not contain documentation of all of the required documentation. Evidence: Child #3's (start date: 11/24/2018) record did not contain documentation of a completed physical form signed by a physician.

Plan of Correction: I will ask the parents to bring the physical today.

Standard #: 22VAC40-111-170-A
Description: Based on a review of household member records, 1 of 3 household member records did not contain documentation of a current report of TB screening form. Evidence: Household member A's record did not contain documentation of a current report of TB screening form.

Plan of Correction: They will go get their TB tests completed tomorrow.

Standard #: 22VAC40-111-180-A
Description: Based on a review of household member records, 1 of 3 household member records did not contain documentation of a current report of TB screening form every two years from the date of the first screening. Evidence: Household member C's most recent document TB screening was dated 11/9/2016 (expired: 11/9/2018).

Plan of Correction: They will go get their TB tests completed tomorrow.

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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