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Kristine Kim
3612 West Ox Road
Fairfax, VA 22033
(703) 508-4965

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Aug. 8, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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
22VAC40-111 Emergencies
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
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: Cable ties for the safety gate at the back stairs

An announced Initial inspection was conducted today. There are 4 children present (11points) with 2 caregivers. 4 adult and 4 children's files were reviewed. See violation notice for missing information. Children were observed eating lunch, during diapering, and laying down for rest. There is one crib assembled for use, that meets federal requirements. Due to case load adjustments, your next inspection may be with a different inspector. All inspectors carry ID badges for security purposes. If you have any questions regarding this inspection, please contact me at 703-479-4678. LI was present today from 11:45 Am - 12:59 PM

Standard #: 22VAC40-111-750-A
Description: Based upon a review of files, authorizations for topical ointments are not on file. Evidence: 4 of 4 files reviewed did not contain a written authorization to apply a topical ointment.

Plan of Correction: I will ask the parents to complete the forms.

Standard #: 22VAC40-111-760-A
Description: Based upon a review of first aid supplies, the first aid kit is incomplete. Evidence: There is no digital thermometer available.

Plan of Correction: I will purchase a new thermometer.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, children's files are incomplete. Evidence: 4 children's files were reviewed. Missing information includes but may not be limited to: *Health insurance policy number (Child 2) *Parent's work information (address and phone number) (Child 1) *Complete emergency contact information (Children 3. 4)

Plan of Correction: I will ask the parents to complete the forms.

Standard #: 22VAC40-111-320-A
Description: Based upon direct observation, small appliances were not unplugged while not in use. Evidence: A toaster, coffee maker, and blender were plugged in while not in use in the kitchen.

Plan of Correction: Appliances were unplugged during the inspection. I will remind others to unplug thins when not in use.

Standard #: 22VAC40-111-690-E
Description: There is no foot operated diaper disposal container available.

Plan of Correction: I will purchase a step on trash can.


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.