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Ms. Denise Green
5648 Northton Court
Woodbridge, VA 22193
(571) 229-0058

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: July 30, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
54.1-3408 Provider must be MAT certified to administer prescription medication.

An unannounced monitoring inspection was conducted from 2:30 - 4:00 pm with the provider. There were six children in care, ranging from four years to eight years of age, for a total of eight points. The children were observed napping upon arrival, waking, reading books, and eating snack. Snack served today was goldfish, yogurt and water. Four children's files were reviewed. Two caregiver/household member records were reviewed and in compliance. Required information was posted. The emergency drill log was reviewed and in compliance. The provider is not Medication Administration Training (MAT) certified and cannot administer medications to children in care. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email

Standard #: 22VAC40-111-100-A
Description: Based on a review of four children's files, the provider did not obtain documentation that each child has received a physical examination before the child's first attendance or within one month after attendance. Evidence: The files for Child #1 (date of first attendance: 10/6/15) and Child #2 (date of first attendance: 10/10/16 did not have documentation of a physical examination.

Plan of Correction: Will ask the parents to provide documentation no later than 08/02/19.

Standard #: 22VAC40-111-60-A
Description: Based on a review of four children's files, it was determined that not all files were complete. Evidence: The file for Child #4 (date of first attendance: 7/26/19 ) did not have a work phone number for one parent, the phone number for the physician, the medical insurance policy number, or the name, address and phone number for a second emergency contact. Child #4's file also did not have signed documentation that parents had been given VDSS model forms "Information for Parents", "Policy on the Administration on Medication" or ?Liability Insurance Declaration" in the file.

Plan of Correction: Will get missing information from parent.

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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