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Lia Johnson
20583 Gleedsville Road
Leesburg, VA 20175
(703) 853-7044

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: Nov. 5, 2015

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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed with provider: MAT training, receipt of medications, phone numbers to follow up on background searches.

An announced Initial study was conducted today. There are 5 children (10 points) with 2 adults. 5 children and 3 adult files were reviewed. See violation notice form missing information. There are 2 dogs, 7 puppies, 3 Alpacas, one pony and 2 cats on site. All are in compliance with immunizations and/or health records. Children were observed listening to a story, painting and finishing a snack. If you have any questions regarding this inspection, please contact me at 703-479-4678. LI was present today from 9:50 AM - 11:50 AM

Standard #: 22VAC40-111-760-A-1
Description: Based upon a review of fist aid supplies, the first aid kit is incomplete. Evidence: The first aid kit is missing tweezers.

Plan of Correction: I will locate tweezers for the kit.

Standard #: 22VAC40-111-100-A
Description: Based upon a review if files, children's physical records are incomplete. Evidence: 2 of 5 files reviewed were missing documentation of completed physicals on file within 30 days of enrollment. (Children # 4, 5). Start dates for children was 9/2015.

Plan of Correction: I will remind the parents to bring in the forms.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, children's files are incomplete. Evidence: *5 of 5 files reviewed were missing: start date, complete addresses for 2 emergency contacts, parents complete work information.

Plan of Correction: I will use the DSS model form. I will ask the parents to complete the forms.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of files, children's files did not contain documentation of all required policies. Evidence: *5 of 5 files reviewed were missing documentation of Liability insurance declaration. *1 of 5 files reviewed was missing signed acknowledgment of medication policy, and the information for parents model form that contains all required policies. (Child 3) The forms are on file; however, the parent did not sign the form.

Plan of Correction: I will ask the parent to sign the form. I will modify my contract to include the liability insurance information.

Standard #: 22VAC40-111-90-A
Description: Based upon a review of file, immunization records are incomplete for one child. Evidence: Child #4's immunization record is not signed, stamped or electronically signed by the doctor's office.

Plan of Correction: I will ask the parent to have the form signed or stamped.

Standard #: 22VAC40-111-200-C
Description: Based upon a review of one staff file, the file is incomplete. Evidence: Staff 's files does not contain documentation of orientation.

Plan of Correction: Orientation was done, the form was not completed. I will have the form completed and placed in the file.

Standard #: 22VAC40-111-220-A
Description: There is no person certified in Medication Administration Training (MAT) at the day care. There are 2 Epi-pens present in the facility.

Plan of Correction: I was under the impression that I could administer the Epi-pen because the first aid trainer said it was alright. I will check into the "e-MAT" class.


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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.