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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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Marina Graetzer
2906 Swanee Lane
Fairfax, VA 22031
(571) 359-9396

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: Feb. 7, 2020

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

Technical Assistance:
The provider shall forward documentation of each caregiver's 16 hours of required training courses to the Inspector. This documentation must be received prior to the license expiration date of 3/5/20.

An unannounced full renewal inspection was conducted today. The provider and one assistant caregiver were caring for 5 children, totaling 10 points. Children's records, caregiver/household records, background checks, caregiver training, emergency preparedness items, administrative records, child care programming and supplies, caregiver:child interactions, and children's medications were inspected today.

The children were observed completing academic work, playing with toys, singing songs, engaging in creative play, and preparing for lunch from home.

This inspection was completed between approximately 11:00am and 12:40pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at

Standard #: 22VAC40-111-700-A
Description: Based on a review of children's medications, it was determined that the provider has not obtained all required information on one child's medication authorization form.
One child's medication authorization form does not include a documented start and stop date for which the medication authorization is effective.

Plan of Correction: I will ask the parent to complete the missing information.

Standard #: 22VAC40-111-730-D
Description: Based on observations, it was determined that one child's medication was not stored in a manner that keeps it locked to prevent access by the children in care.
Upon arrival, the Inspector observed one child's prescription medication on top of the cubby shelf where the children store their food and belongings. This medication was not locked.

Plan of Correction: I will put the medication in the locking area of the kitchen.

Standard #: 22VAC40-111-800-B
Description: Based on a review of emergency preparedness items, it was determined that the provider has not reviewed the emergency plan at least annually.
The provider did not complete an annual review of the emergency plan. She most recently reviewed the plan on 8/31/18.

Plan of Correction: I will review the plan with my assistants this weekend.

Standard #: 22VAC40-111-120-B
Description: Based on a review of caregiver records, it was determined that the record for one assistant caregiver does not contain all required information.
The record for assistant caregiver B does not include documentation of two completed reference checks.

Plan of Correction: I forgot to do the reference checks. I will make sure to do them this weekend.

Standard #: 22VAC40-111-220-A
Description: Based on a review of caregiver training, it was determined that the provider has agreed to administer medication without holding the required training certification.
There was one child's medication on site during this inspection. The provider has not completed the required Medication Administration Training (MAT.)

Plan of Correction: I thought I did the right training, but it's the wrong course. I will register for the correct training ASAP.

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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