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Lorena Dennehy
13921 Waterflow Place
Centreville, VA 20121
(703) 656-6971

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Feb. 5, 2018

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 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:
Discussed the requirements for family members to obtain all necessary background checks prior to making the FDH their permanent residence, obtaining fingerprinting information and renewing MAT certification prior to administering and medications.

Comments:
An unannounced monitoring visit was conducted today beginning at 10:20am. 6 children (24 pts) and 2 caregivers were present. Ratios were in compliance. The physical space, 8 children's records, caregiver records, evacuation drills and the Emergency Preparedness Plan were reviewed. Required documents were posted. Previous violations were addressed and brought into compliance. The space was clean and well organized. Cribs and the diapering area were inspected. Children were observed playing individually and interacting with the caregivers. Interactions were positive. Areas of non-compliance are identified in the Violation Notice. For questions regarding this inspection, please contact stephanie.salvatori@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of 8 children's records, 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: Child #1 started in August of 2017 and was missing the physical examination. Child #2 started 1/2/2018 and was missing the physical examination as well.

Plan of Correction: I will ask the parents to bring me the information.

Standard #: 22VAC40-111-60-B
Description: Based on review of 8 children's records, the provider did not maintain children's records to contain the required information. Evidence: Child #1 was missing the first date of attendance and the results of the health examination. Child #2 was missing the immunization records and the results of the physical examination. Child #3 was missing the Proof of Identification.

Plan of Correction: I will get the information from the parents and update the records.

Standard #: 22VAC40-111-80-A
Description: Based on record review, the Provider did not obtain the Proof of identification, age of the child and name and location of previous day care programs, within seven business days of the child's first day of attendance at the family day home. Evidence: Child #3 started the FDH on 7/18/2017 and the required information was not available for review.

Plan of Correction: The parent stated they lost the birth certificate and have applied for a new one. I will follow up with them and get the information.

Standard #: 22VAC40-111-90-A
Description: Based on review of records, 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 prior to the start date. Evidence: Child #2 started on 1/2/2018 and no record of immunizations were in the child's records.

Plan of Correction: I will ask the parents for a copy of the records right away.

Standard #: 22VAC40-111-140-B-1
Description: Based on record review, the Provider did not obtain the information required for the Assistant regarding (i) A high school program completion or the equivalent or (ii) evidence of having met the requirements for admission to an accredited college or university. Evidence: The information for Assistant #1 was not in the file.

Plan of Correction: I will ask her to bring me a copy right away.

Standard #: 22VAC40-111-200-B
Description:

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-60-D-1
Description: Based on record review, background checks for the Assistant were incomplete. Evidence: The Provider requested a report within seven calendar days but the document was returned incomplete. The Provider did not follow up with the Central Registry request. The Assistant started 8/22/17, the Central Registry Search was sent on 8/26/17 and subsequently returned.

Plan of Correction: I will send another one off right away.

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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