14725 Calvary Place
Centreville, VA 20121
Current Inspector: Charles Perkins (703) 309-3963
Inspection Date: Nov. 29, 2018
Complaint Related: Yes
- Areas Reviewed:
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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
- Technical Assistance:
Discussion and review of issues of an alleged non-compliance that presented itself to the Division of Licensing in a reported complaint. All areas of the standard were reviewed in order to fulfill the requirement of counting this as a mandated inspection.
The following unannounced complaint inspection took place on 11/29/2018, between the hours of 10:30 am through 1 pm, on site at the family day home located in Centreville, Virginia. Based on all available evidence, the following are the findings for those areas of the standard that were in review: 22VAC40-111-(2)-90-C Not Reported / Found 22VAC40-111-(5)-180-A Not Reported / Found 22VAC40-191(BC)-40-D-4-a Reported / Valid 22VAC40-111-(7)-240-A Reported / Not-Valid 22VAC40-111-(11)-800-B Not Reported / Found If you should have any future questions with regards to these findings, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963
Standard #: 22VAC40-111-800-B Complaint related: No Description: Based on observation, the Provider did not document the required annual review of the Family Day Home's (FDH's) Emergency Preparedness and Response Plan (EP&RP). Evidence - 1. On the date of inspection (11/29/2018), the most recent documented review of the posted EP&RP was dated - 01/04/2017. 2. The Provider reviewed and documented the EP&RP, with no additional updates, on the date of inspection. Plan of Correction: Reviewed on the date of inspection and documented.
Standard #: 22VAC40-111-90-C Complaint related: No Description: Based on review, 1 of 3 children's files reviewed indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for children under the age of two years. Evidence - 1. On the date of inspection (11/29/2018), Child #1's most recent immunization page documentation was dated - 04/05/2018. 2. On the date of inspection, based on information on file, Child #1 was under the age of two years. Plan of Correction: An updated immunization page shall be obtained and placed on file for Child #1.
Standard #: 22VAC40-111-180-A Complaint related: No Description: Based on review, 2 of 4 household member's files reviewed indicated that the Provider did not obtain for each 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 most recent TB documentation on file. Evidence - 1. On the date of inspection (11/29/2018), the following household member's had TB documentation on file at the FDH that was older than 2 years: Household Member #1, and Household Member #2. 2. The TB documentation on file for Household Member #1 was dated - 09/09/2016. The TB documentation on file for Household Member #2 was dated - 07/15/2016. Plan of Correction: TB documentation for both household members shall be updated and placed on file.
Standard #: 22VAC40-191-40-D-4-a Complaint related: Yes Description: Based on observation and interview, a new household member did not have on file a sworn statement or affirmation (SDS) when a person age 18 years or older begins residing in the home; and a search of central registry (CPS) and a criminal history record check (CRC) within 30 days of a person 18 years of age or older begins to residing in the home. Evidence - 1. The Provider stated (during an interview conducted on the date of inspection - 11/29/2018) that other than her three children and mother that their were no other adults (persons over 18 years of age) living in the home. 2. At approximately 12:30 pm. , an unidentified person was observed coming down the stairs and then exiting the home. When asked by the LI who that person was, the Provider responded that she was a renter (Household Member #5). 3. The Provider then stated the Household Member #5 moved in to her home on October 3, 2018. 4. There is currently no file on Household Member #5, to include: a CPS check, a CRC check (fingerprint check), and a SDS. Plan of Correction: Household Member #5 will be asked to leave by December 8, 2018. If she does stay, all required documentation shall be on file and sent within ten days.
A compliance history is in no way a rating for a facility.