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Ms. Susan Niemeier
208 Foresail Cove
Stafford, VA 22554
(703) 508-2255

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: March 25, 2019

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
22VAC40-111 Transportation
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:
The last five escape drills have been conducted in the morning so please make sure to vary the time of day your are doing these monthly drills.

Comments:
An unannounced renewal study was conducted with the provider, who was present with 3 assistants and 12 children for at total of 20 points. The staff and children were preparing for lunch at the beginning of the inspection. The children were served fish sticks, corn, macaroni and cheese, peaches and milk/water. The provider reported that there have been no injuries/accidents. The provider does not administer medication and there was no medications on site. The provider's First Aid/CPR is through American Safety Health Institute and is due to expire on 12/5/20. Eight children's files and seven caregiver/household members files were reviewed today. Arrival time: 11: 50 am Departure time:1:10 pm

Violations:
Standard #: 22VAC40-111-960-C
Description: Based on observation , it was determined that two infants were placed in high chairs to eat but were not fastened into the seats.

Plan of Correction: We will remember to fasten the straps when the children are placed into highchairs.

Standard #: 22VAC40-111-100-A
Description: Based on a review of eight children's files, it was determined that there were no physicals on file for two children who have been enrolled for more than 30 days. Evidence: Child A enrolled on 12/15/16 and child C enrolled on 5/24/18 and neither child had physicals on file.

Plan of Correction: I will get the physicals from the parents.

Standard #: 22VAC40-111-60-A
Description: Based on a review of eight children's files and an interview with the provider, it was determined that the provider had not done the review of the children's emergency contact information. Evidence: Child A enrolled in 2016 and child B enrolled in 2014 and there have been no annual review of their emergency contact information.

Plan of Correction: I will go through all children's files and I will do the annual review for all those that require it.

Standard #: 22VAC40-111-90-A
Description: Based on a review of children's files, it was determined that one child did not have an immunization record on file prior to attendance. Evidence: Child C enrolled on 5/24/18 and there was no immunization record on file.

Plan of Correction: We will get the immunization record.

Standard #: 22VAC40-111-170-A
Description: Based on a review of 6 caregiver's files and an interview with the provider, it was determined that one staff did not have a tuberculosis test/screening prior to coming into contact with children. Evidence: Staff D was hired on 1/1/19 and has not obtained a tuberculosis test

Plan of Correction: I will have them get a tuberculosis test/screening.

Standard #: 22VAC40-111-180-A
Description: Based on a review of 6 caregiver's files and an interview with the provider, it was determined that one caregiver did not have tuberculosis test/screening every two years from the date of the first screening. Evidence: Staff C's tuberculosis test is dated 6/14/17.

Plan of Correction: Staff C will get a new tuberculosis test/screening.

Standard #: 22VAC40-111-210-A
Description: Based on a review of 6 caregiver's files and an interview with the provider, it was determined that three caregivers' did not have the required 16 hours of annual training for 2018. Evidence: Staff A has 3 of the 16 training hours; staff B and C have none of the required 16 training hours.

Plan of Correction: We will get the training.

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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