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Merlin Berganza
7932 Orange Plank Road
Springfield, VA 22153
(571) 501-0057

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Oct. 24, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced monitoring inspection was conducted today from 10:50 am until 12:30 pm. There were 7 children (22 points) directly supervised by the provider and 2 additional staff. The child care area, 2 staff records, 4 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, coloring, and eating lunch. Caregivers were observed engaged in conversation with the children and actively participating in their play. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on record review, the provider did not maintain a record for two assistants which contained all required information.
Evidence:
The records for Staff 1 and 2 did not contain: verification of age, job title, date of employment, ot the name address and telephone number of a person to be notified in an emergency.

Plan of Correction: I have the form and I will have the staff members complete the information.

Standard #: 22VAC40-111-60-B
Description: Based on record review, four of four children's records were incomplete.
Evidence:
1. The records for Children 1-4 did not contain documentation of a health insurance policy number.

Plan of Correction: I will ask the parents to provide the policy numbers.

Standard #: 22VAC40-111-200-A
Description: Based on record review, the provider did not orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.
Evidence:
On the date of inspection (10/24/2019) there was no documentation present in the file for Staff 1 and Staff 2 that they had received an orientation.

Plan of Correction: I will provide and document an orientation.

Standard #: 22VAC40-111-240-B
Description: Based on observation, one piece of equipment present in the family day home has been recalled by the U.S. Consumer Product Safety Commission as being hazardous.
Evidence:
A Fisher Price "Rock 'n Play" sleeper was observed in the child care area. All Fisher Price "Rock n' Play" sleepers were recalled in 2019 as they pose a risk of child death.

Plan of Correction: Disposed of immediately.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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