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Ms. Rohee Mendoza
82 Tavern Road
Stafford, VA 22554
(540) 720-7103

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: July 31, 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
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Please vary the time of day you do escape drills- five of the last six have been done in the later morning. Please make sure all adults have completed the new sworn disclosure statements on our public web site.

Comments:
An unannounced monitoring inspection was conducted today with the provider, who was present with an assistant and 8 children for a total of 17 points. The children were outside playing at the beginning of the inspection. No child had medication on site and the provider reported that there have been no injuries/accidents requiring documentation. Six children and three adult files were reviewed. Arrival time: 10:40 am Departure time: 11:55 am

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on a review of six children's files and an interview with the provider, it was determined that the provider had not obtained annual review of the parents emergency contacts for three children ( A through C). Evidence: Child A and B enrolled in 2016 and child C enrolled on 4/30/18 and the parents have not reviewed and updated the emergency contacts annually.

Plan of Correction: We will have all parents do an annual review and keep documentation.

Standard #: 22VAC40-111-120-B
Description: Based on a review of files, it was determined that there were no references on file for Assistant A.

Plan of Correction: I will get the references.

Standard #: 22VAC40-111-60-B
Description: Based on a review of six children's files and an interview with the provider, it was determined that one child's record was missing required components. Evidence: Child C enrolled on 4/30/18 and is missing an address for one of the emergency contacts, physician name and contact information and insurance policy number.

Plan of Correction: I will get this information.

Standard #: 22VAC40-111-440-B
Description: Based on observation, it was determined that the children are using the deck which presents an entrapment hazard. Evidence: Some of the vertical slats on the deck is large enough ( 4 inches or greater) to entrap a child.

Plan of Correction: We will add mesh or some type of material to the deck to prevent an entrapment hazard. Until the mesh is added no child will be on the back deck.

Standard #: 22VAC40-191-60-B
Description: Based on a review of three adult files, it was determined that one file did not have a sworn disclosure statement on file prior to employment. Evidence: Assistant A's first day of employment was today, 7/31/19 and there was no sworn disclosure statement on file prior to employment.

Plan of Correction: Assistant A will sign the form 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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