4833 Carriage Park Road
Fairfax, VA 22032
Current Inspector: Mahrukh Aziz (571) 835-4718
Complaint Related: No
Standard #: 22VAC40-111-960-E Description: Based on observation, bottles were not labeled.
Evidence: Two infant bottles were not labeled with the name and date. Two additional infant bottles were labeled with the child's name, but were not dated.
Plan of Correction: I will check all bottles to make sure they are labeled properly.
Standard #: 22VAC40-111-120-B Description: Based on record review, the provider did not obtain two reference checks for an assistant caregiver.
Evidence: Caregiver # 1's record had documentation of only one reference check. The second reference check was not obtained.
Plan of Correction: I will obtain another reference for the caregiver.
Standard #: 22VAC40-111-60-B Description: Based on records review, records for children in care were not complete.
1. Child # 1's record was missing the medical policy number.
2. The section for authorization for emergency medical care for Child # 2 and Child # 3's record was not completed by the parents.
3. Child # 3 was missing information for person authorized to pick up.
Plan of Correction: I will get the missing information from the parents.
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.