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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: July 31, 2017

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
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

An unannounced renewal study was conducted today. There are 9 children present including one of the provider's own (16 points) with 3 adults. 4 adult and 8 children's files were reviewed. See violation notice for missing information. Children were observed washing hands, eating lunch, playing with toys and resting quietly. If you have any questions regarding this inspection please contact me at 703-479-4678. LI was present today from 11:10 AM - 1:30 PM

Standard #: 22VAC40-111-800-A
Description: Based upon a review of the emergency preparedness plan, the written plan is inconsistent with the "Provisions of the emergency preparedness plan" notification given to the parents. Evidence: The written plan's relocation address is not the same as the provision given to the parents. Two different locations are listed.

Plan of Correction: I will update the written plan to include the library address.

Standard #: 22VAC40-111-120-B
Description: Based upon a review of files, the assistant's file is incomplete. Evidence: Missing information includes but may not be limited to: 2 references prior to hiring, documentation of education and experience, address, emergency contact information, date of employment.

Plan of Correction: I will contact reference today. I will have the Asst./Sub record completed today. Orientation was conducted, just not documented. It will be done today.

Standard #: 22VAC40-111-60-A
Description: Based upon a review of files, one child has no file available. (Child 8)

Plan of Correction: The child will no longer attend.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, children's files are incomplete. Evidence: Missing information includes: *1 of 7 files reviewed was missing allergy information (Child 1)

Plan of Correction: I will ask the parent to complete the information.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of files, parents have not been provided in writing all required policies. Evidence: Child 7 is missing the termination policy.

Plan of Correction: I will update the file today.

Standard #: 22VAC40-111-500-C
Description: Based upon direct observation, one slide is over a hard surface. Evidence: The corkscrew slide does not have a resilient surfacing mat at the exit.

Plan of Correction: I will order another mat. We will not use the slide until the mat is here.

Standard #: 22VAC40-191-40-D-1-b
Description: Based upon a review of files, one adult file does not contain documentation of background checks past 30 days of employment. Evidence: Adult A's file is missing a complete Criminal Record Check (CRC) and a complete Central Registry Search (CPS).

Plan of Correction: The forms were mailed off and I am waiting for the return. One form had to be submitted a second time. I will call today and follow upon the forms.

Standard #: 22VAC40-191-60-C-1
Description: Based upon a review of files, Adult A was allowed to work, past 30 days of employment without a completed CRC search on file.

Plan of Correction: Adult A will not be allowed to work until the form is returned.

Standard #: 22VAC40-191-60-C-2
Description: Based upon a review of files, Adult A was allowed to work, past 30 days of employment without a completed CPS search on file.

Plan of Correction: ADult A will not be allowed to return to work until the form is received.


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.