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Francisca Jimenez
1319 Tenaya Way
Leesburg, VA 20176
(703) 371-2527

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: May 15, 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 VDSS web site, documents on the web site and resources.

Comments:
An announced Initial inspection was conducted today from 9:35am to 1:35pm. 4 children (10pts) were present with 1 caregiver and 1 household member. Ratios were in compliance. The physical space, 4 children's records, caregiver/household member records, policies and first aid supplies were reviewed. 2 cribs were present (manufacturer's date - April 2017). Required documents were posted. The space was clean, organized and contained an abundance of age appropriate materials. Interactions between the caregiver and children 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 #: 22VAC40-111-700-A
Description: Based on record review, documentation of authorization to administer prescription or non-prescription medication was not available in 3 out of 4 children's records. Evidence: Child #1, Child #2 and Child #3 were missing the written authorization forms required to administer prescription or non-prescription medications.

Plan of Correction: I will ask for the information right away.

Standard #: 22VAC40-111-760-A
Description: Based on review, the first aid and emergency supplies kit was missing an item. Evidence: The kit was missing 2 triangular bandages.

Plan of Correction: I will purchase them for the kit.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the Provider did not obtain a physical examination within 30 days after the first date of attendance. Evidence: Child #1 and Child #2 started 12/20/2017 and no physical examination was available for review.

Plan of Correction: I will ask the parents for the information right away.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 3 out of 4 records were incomplete. Evidence: Child #1, Child #2 & Child #3 - Missing written authorization for emergency medical care. Child #3 - Missing addresses for 2 emergency contacts.

Plan of Correction: I will ask for the information right away.

Standard #: 22VAC40-111-70-A
Description: Based on record review, 4 out of 4 children's records did not contain written provisions of the family day home's emergency preparedness and response plan. Evidence: The documents for Child #1. Child #2, Child #3 and Child #4 were missing.

Plan of Correction: I will ask for the parents to sign the forms right away.

Standard #: 22VAC40-111-80-B
Description: Based on record review, the Provider did not obtain proof of identity for 3 out of 4 children. Evidence: Child #1, Child #2 and Child #3 were missing documentation to verify proof of identity.

Plan of Correction: I will ask for the information and sign the correct documentation of verification.

Standard #: 22VAC40-111-150-D-2
Description: Based on record review, the Provider did not have current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: The Provider had taken Adult, Child, Infant CPR & AED but had not taken a class in First Aid.

Plan of Correction: I will sign up for a class to take as soon as possible.

Standard #: 63.2-1809.1-A
Description: Based on record review, 2 out of 4 children's records did not contain a signed Liability Insurance Declaration. Evidence: Child #1 and Child #2 were missing the Liability Insurance Declaration.

Plan of Correction: I will ask the parents to sign the information 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. To find programs participating in Virginia Quality, click here.

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