3913 17th Street North
Arlington, VA 22207
Current Inspector: Ann Dramstad (703) 314-0860
Inspection Date: July 14, 2016
Complaint Related: No
- Areas Reviewed:
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 Medication Administration
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
- Technical Assistance:
Discussed with provider: I am not able to submit the application for approval until Adult C has moved from the home. Please contact me once that move has occurred, to inspect the home again.
An announced Initial study was conducted today. There are 4 children (13 points) with 2 adult caregivers. 4 adult and 4 children's files were reviewed. See violation notice for missing information. Children were observed playing during today's inspection. There are 4 cribs assembled for use with acceptable manufacture dates. I recommend sheet tightening strips for the smaller mattress. Due to case load adjustments, your next inspection may be with a different inspector. LI was present today from 9:50 AM - 11:20 AM. If you have any questions regarding this inspection, please contact me at 703-479-4678.
Standard #: 22VAC40-111-60-B Description: Based upon a review of files, one child's file is incomplete. Evidence: Child 1's file is missing: first day of attendance, Health insurance policy number, second emergency contact address Plan of Correction: I will ask the parent to complete the missing information.
Standard #: 22VAC40-111-70-A Description: Based upon a review of files, parents have not been provided all required policies prior to the first day of attendance. Evidence: 4 of 4 files reviewed were missing the decision to administer medication. (Children 1-4) Plan of Correction: I will have parents sign the model form today.
Standard #: 22VAC40-191-40-B Description: Based upon a review of files, one adult file contains a disqualifying background search. Evidence: Adult C's background search contains a completed Criminal Record Check (CRC) with a barrier conviction. Plan of Correction: The person will move out o the house.
A compliance history is in no way a rating for a facility.