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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Kimberly Spivack
14704 Bonnett Terrace
Centreville, VA 20121
(703) 314-8261

Current Inspector: Derek Acosta (703) 554-4995

Inspection Date: July 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

Comments:
An announced initial inspection for a new family daycare was conducted July 16 2019 between 12:30pm and 2:00pm. There were 4 children in the direct care of the day care provider. Children were observed during nap time. The home is clean, organized, and offers plenty of toys, books, and materials. Areas of non-compliance are listed on the violation notice. If you have any questions regarding this inspection please contact me at 703-554-4995 or at derek.acosta@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 4 children's records reviewed did not have all of the required information. Evidence: Child # 3 record does not contain documentation of complete emergency contacts including full addresses.

Plan of Correction: I will contact the parent and have the parent bring the information.

Standard #: 22VAC40-111-70-A
Description: Based on record review, 1 of 4 children's records reviewed did not have documentation that parents of a child enrolled had all of the required forms prior to the first date of attendance. Evidence: Child # 2 record does not contain documentation that the parent received the emergency preparedness form.

Plan of Correction: Parent received the form. I will have them sign a new form tonight.

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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