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Miriam Medina
3233 Nealon Drive
Falls church, VA 22042
(703) 507-5650

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Aug. 2, 2016

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
22VAC40-80 THE LICENSE.
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.

Comments:
An unannounced renewal inspection was conducted today from 11:00 - 1:25. There were 9 children = 22 points present with two caregivers. When Ms. Medina's child joined the group there were 10 children = 24 points. The children were observed sitting at a table coloring and doing a puzzle. The children then washed their hands and sat down to wait for lunch. After lunch the children sat down and waited for nap time. The exit interview was conducted with Ms. Medina. The violation notice will be e mailed for completion.

Violations:
Standard #: 22VAC40-111-770
Description: Based on observation, the licensee does not have a working battery operated radio. Evidence - The radio did not work when it was turned.

Plan of Correction: Buy you a new radio

Standard #: 22VAC40-111-780-B
Description: Based on a review of children's records, the licensee did not get an annual update for one child. Evidence - The record for child #4 had not been updated since 7/20/2015.

Plan of Correction: Speak will [sic] parents. to sing [sic]

Standard #: 22VAC40-111-880
Description: Based on observation, the licensee did not serve a meal that meets the United States Department of Agriculture guidelines. Evidence - There was not an ounce and 1/2 of protein provided for each child and there was not 1/4 cup of vegetables provided for each child and there was not 4 ounces of milk provided for each child. Based on information from the licensee, the children are not provided second helpings on the food provided.

Plan of Correction: * 6 ounces i'll buy glasses for children. *I'll be sure to put the amounts of vegetable. proteins and carbohydrates in the menu right.

Standard #: 22VAC40-111-50-A
Description: Based on observation, the attendance record for 8/2/2016 was not complete. Evidence - The attendance record listed only 7 of the nine children present today.

Plan of Correction: I wrote at that time

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, the licensee did not obtain all of the required information. Evidence - The records for the following children were missing the information listed. Child #2 - No insurance policy number. Child #3 - no insurance policy number & no last name for emergency contact #1. Child #4 - No insurance policy number. Child #5 - No address for emergency contact #2. Child #8 - Only one of two required emergency contacts. Child #10 - No house number for emergency contact #1.

Plan of Correction: Parents will complete all missing

Standard #: 22VAC40-111-70-A
Description: Based on a review of children's records, the licensee did not provide one parent with all of the required written information. Evidence - The parents of child #10 did not receive the "Provisions of the Emergency Preparedness and Response Plan".

Plan of Correction: Parents will complete all missing.

Standard #: 22VAC40-111-280
Description: Based on observation, the licensee does not keep all cleaning products inaccessible to children. There were several cleaning products observed over the diaper changing mat including Lice Spray, hand sanitizer and cleaning wipes. There was a bottle of blue spray cleaner on a shelf next to the boxes of cereal.

Plan of Correction: At that time I removed

Standard #: 22VAC40-111-530-A
Description: Based on observation, the licensee did not provide two covers for each child at nap time. Evidence - The children were observed using one small blanket each at nap time.

Plan of Correction: Complete the sheets. I needed.

Standard #: 22VAC40-111-580-C
Description: Based on observation, the licensee did not provide a variety of types of activities for the children, including active and quiet indoor activities. Evidence - The types of activities provided from11:00 - 12:00 were all sitting activities. The children sat and colored, sat and waited for lunch and sat and waited for nap time.

Plan of Correction: I will try that. The children are not more that 15 minutes in an activity

Disclaimer:

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.

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