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Dina Ibarra
9221 Wildwood Street
Lorton, VA 22079
(571) 239-2488

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Oct. 28, 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 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted today between the hours of 1:15 pm through 5 pm with the provider on site. There were 5 children (18 points) with the provider and assistant caregiver present. A sample of 5 children's files, 2 caregiver and all household member's files were reviewed. The children were engaged in the following: naptime, handwashing, snacktime , dancing, completing puzzles, and free play. The physical space, emergency supplies, evacuation drills, attendance records, and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. A Subsidy Health and Safety Inspection (SHSI) was also completed today. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.

Evidence: Child #1 began attendance on 8/16/18. The emergency information for Child #1 was last reviewed by parents on 8/16/18.

Plan of Correction: I will ask the parents to update the information.

Standard #: 22VAC40-111-120-B
Description: Based on record review, 1 of 2 caregiver records did not contain all required information.

Evidence:
The record for Caregiver #1 did not contain the name address and telephone number of a person to be notified in an emergency;

Plan of Correction: I will get the information from her today.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 5 children's records did not contain all required information.

Evidence:
1. The record for Child #2 did not contain the address of the child's mother and father's place of employment.

Plan of Correction: I will ask the parents for the addresses today.

Standard #: 22VAC40-111-170-A
Description: Based on record review and provider interview, the provider did not obtain a current report of tuberculosis screening form for each adult household member.

Evidence:
Provider stated Household member #1 began residing in the family day home approximately 6 weeks ago. There was no documentation of a tuberculosis screening available for review.

Plan of Correction: I will take them to get it done.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review and provider interview, a criminal history check was not obtained for a household member over the age of 18.

Evidence:
1. The record for Household member #1 did not contain documentation of a criminal history check.
2. Provider stated Household member #1 moved into the family day home approximately 6 weeks ago and a criminal history check has not been completed.

Plan of Correction: I will take them to get it done.

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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