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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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Nattaya Cleary
4010 Elizabeth Lane
Fairfax, VA 22032
(571) 309-7061

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Oct. 17, 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
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

An unannounced monitoring inspection was conducted from 12:00pm-1:35pm. There were 9 children (23 points) in the direct care and supervision of the Provider and two Assistant Providers. A sample size of 4 children's records, 3 caregiver records, 1 household member record, the first aid kit, emergency materials, evacuation drills, the daycare space, and the playground were reviewed. The children were observed dancing, helping carve pumpkins, playing with toys, playing outside on the playground, eating lunch, washing hands, having their diapers changed, toileting, and preparing to lay down for their nap time. If you have any questions, please contact me at .

Standard #: 22VAC40-111-180-A
Description: Based on record review, the Provider did not obtain an updated tuberculosis screening for 2 caregivers and one household member.
1. Staff #1's last tuberculosis screening was dated 9/13/2017.
2. Staff #3's last tuberculosis screening was dated 8/31/2017.
3. Household Member #1's last tuberculosis screening was 7/24/2017.

Plan of Correction: We will get new TB screenings.

Standard #: 22VAC40-111-200-C
Description: Based on a review of Assistant caregiver records, 1 out of 2 records did not contain documentation of the orientation.
1. Staff #3 (DOH: 8/7/2017) did not have documentation of the orientation on file.

Plan of Correction: I will look for it or give a new one.

Standard #: 22VAC40-111-320-B
Description: Based on observation, not all unused electrical outlets had protective covers.
1. Two electrical outlets located on the wall where the cots are located did not have protective covers.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diaper changing pad is non-absorbent.
1. The diaper changing pad had two tears in it making it a nonabsorbent surface.

Plan of Correction: I will buy a new one.

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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