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Evelyn Morant
422 Deer Path Avenue SW
Leesburg, VA 20175-2517
(703) 568-0846

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Nov. 15, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
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:
Discussion was held on the topics of current enrollment and current staffing.

Comments:
The following inspection took place between the hours of 1:30 pm through 4 pm. Today, I met with the Provider on site at her Family Day Home (FDH) located in the town of Leesburg, Virginia. At the start of this unannounced monitoring inspection there were a total of 8 children (22 points) with 2 caregivers. A total of 8 children?s files and 6 staff/household member?s files were reviewed. The children were engaged in the following: nap time, diaper changing, bathroom break, hand washing, snack time, music, toy play, games, song, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on observation, the most recent documented review of the Family Day Home's (FDH) Emergency Preparedness and Response Plan (EP&RP) was greater than one year. Evidence - 1. On the date of inspection (11/15/2016) the most recent documented review of the FDH's EP&RP was dated - 09/15/2015. 2. This plan was posted and observed on the parent's bulletin board on the steps down to the child care area of the FDH.

Plan of Correction: The EP&RP shall be reviewed, if needed updated, and documentation of this review shall be done in writing.

Standard #: 22VAC40-111-100-A
Description: Based on review, 1 of 8 children's files reviewed indicated that the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence - 1. On the date of inspection (11/15/2016), documentation of a physical examination was not available for review for Child #4. 2. Based on the information on file, the start date for Child #4 was listed as 08/08/2016.

Plan of Correction: A physical examination for Child #4 shall be obtained and placed on file.

Standard #: 22VAC40-111-60-B
Description: Based on review, 2 of 8 children's files reviewed indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (11/15/2016), the medical insurance information for Child #4 was not available for review. 2. The proof of identification documentation for Child #4 was not available for review. The start date for Child #4 was listed as 08/08/2016.

Plan of Correction: All missing information shall be obtained and placed in the applicable child's file.

Standard #: 22VAC40-111-90-A
Description: Based on review, 1 of 8 children's files reviewed indicated that the Provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before the child's first day of attendance in the Family Day Home (FDH). Evidence - 1. On the date of inspection (11/15/2016), an immunization page for Child #5 was not available for review. 2. The start date for Child #5 was listed as 11/07/2016. Child #5 was in attendance on the date of inspection.

Plan of Correction: An immunization page for Child #5 shall be obtained and placed on file.

Standard #: 22VAC40-111-180-A
Description: Based on review, 1 of 6 staff/household members' files reviewed indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the last TB documentation. Evidence - 1. On the date of inspection (11/15/2016), TB documentation was not available for review for Member #3. 2. The most current TB documentation on file for Member #3 was dated - 10/22/2014.

Plan of Correction: Current TB documentation for Member #3 shall be obtained and placed on file.

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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