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Luz Rodriguez
3070 Hazelton Street
Falls church, VA 22044
(703) 625-8056

Current Inspector: Sharlene Sawyer (571) 835-5505

Inspection Date: April 18, 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

Technical Assistance:
Consulted on on-line training opportunities at the VA DSS web site as well as only recording children on the daily attendance sheet if they are present so the sheet is an accurate reflection of who is present.

Comments:
An unannounced monitoring visit was conducted today. Three caregivers were present with nine children for twenty two points which is within ratios for supervision. Observed children hand washing and transitioning to lunch time, infant care and diapering. Lunch is provided by the families. Space is well equipped and maintained for children in care. Emergency preparation is current. Reviewed three children's records, caregiver records and space. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 0f 3 children's records is incomplete. Evidence: Child #1's record was missing the policy number of the child's medical insurance.

Plan of Correction: Provider will request the information from the parent at pick-up today.

Standard #: 22VAC40-111-70-A
Description: Based on record review, 1 of 3 children's files did not have a completed Written Information For Parents form that was signed and dates before the child's first day of attendance. Evidence: Child #1's (date of entrance 3/18/2019) written Information For Parents was not signed and dated to verify receipt of the home's policies and procedures.

Plan of Correction: Parent will sign the paperwork at pick-up today.

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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