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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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Ms. Denise Green
5648 Northton Court
Woodbridge, VA 22193
(571) 229-0058

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Dec. 9, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
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

Technical Assistance:
Provided consultation on creating weekly menus that can be rotated and reused, as long as they are posted and dated.

An unannounced renewal inspection was conducted from 10:30 am - 12:00 noon with the provider. There were two children in care, ranging from three years to four years of age, for a total of four points. The children were observed helping decorate for the holidays, having circle time learning colors in English and Spanish and completing puzzles. Three children's records were reviewed. Two caregiver/household member records were reviewed and in compliance. Required information was posted. The emergency drill log was observed and in compliance. The provider is not Medication Administration Training (MAT) certified and cannot administer medication to children in care. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email

Standard #: 22VAC40-111-100-A
Description: Based on a review of three children's records, the provider did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: The records for child #2 (date of first attendance: 8/27/19) and child #3 (date of first attendance: 9/10/18) did not have documentation of a physical examination.

Plan of Correction: I will locate the documentation, or ask the parent to provide another copy.

Standard #: 22VAC40-111-60-B
Description: Based on a review of three children's records, not all records contained all required information. Evidence: the records for child #1 (date of first attendance: 12/9/19), child #2 (date of first attendance: 8/27/19) and child #3 (date of first attendance: 9/10/18) did not contain signed acknowledgement of the receipt of information regarding the provisions of the family day home's emergency preparedness and response plan.

Plan of Correction: Have met and discussed with all parents. Will obtain written acknowledgement and place in children's records.

Standard #: 22VAC40-111-90-A
Description: Based on a review of three children's records, the provider did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: Child #1 (date of first attendance: 12/9/19) did not have documentation of immunizations in their file.

Plan of Correction: Called the parent during the inspection. Will ensure immunization records are obtained before any other child starts.

Standard #: 22VAC40-111-280
Description: Based on observation, not all poisonous materials were kept inaccessible to children in care. Evidence: a container of Lysol brand wipes was sitting on top of a low shelf outside the bathroom door, within reach and accessible to the children in care.

Plan of Correction: I will ensure that they are placed out of reach of children.

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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