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Yesenia Morales
6017 Hanover Avenue
Springfield, VA 22150
(202) 437-7861

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Dec. 19, 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
22VAC40-80 THE LICENSE.

Comments:
An unannounced renewal inspection was conducted today between the hours of 2 pm through 4:30 pm with the provider on site. There were 7 children (16 points) with the provider and 2 caregivers. A sample of 5 children's files and 5 caregiver/household member's files were reviewed. The children were observed during snack time, story time, making Christmas cards, and playing with toys. The physical space, emergency supplies, evacuation drills, attendance records, injury reports, medications and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct and obtain the parent's signed acknowledgment of the review for 2 of 5 children.

Evidence:
1. Child #1 began attending the family day home on 12/4/17. The last signed review of emergency contact information documented in the record was dated 11/7/18.
2. Child #2 began attending the family day home in August 2018. There was no documented review of emergency contact information available for review.

Plan of Correction: We will request the information during pick-up.

Standard #: 22VAC40-111-120-B
Description: Based on record review, 2 of 3 caregiver records did not contain all required information.

Evidence:
1. The record for Caregiver #1 did not contain date of employment and verification of age.
2. The record for Caregiver #2 did not contain date of employment.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-60-B
Description: Based on record review and caregiver interview, 2 of 5 children's records did not contain all required information.

Evidence:
The record for Child #1 did not contain names of persons other than the custodial parents who are authorized to pick up the child.
2. The record for Child #2 was missing the following information:
- first date of attendance
- proof of the child's age and identity
-written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately
Caregiver stated the document which contains the missing information for Child #2 was given to the child's emergency contact and had not been returned to the family day home at the time of inspection.

Plan of Correction: We will request the information during pick-up.

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.

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