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Merlin Berganza
7932 Orange Plank Road
Springfield, VA 22153
(571) 501-0057

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Jan. 2, 2020

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 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced renewal inspection was conducted today from approximately 9:00 am-10:15 am. At the beginning of the inspection there were 3 children (7 points) directly supervised by the substitute provider. The provider arrived at the family day home at approximately 9:30 am. The child care area, 3 staff records, 3 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely including dramatic play, building with blocks, and dancing. There was an assortment of age appropriate materials for children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on record review, the assistants' and substitute providers' records shall contain all required information.
Evidence:
The records for Staff 1 and Staff 2 did not contain verification of age.

Plan of Correction: I will obtain the verification of age and put the documentation in the records.

Standard #: 22VAC40-111-140-D
Description: Based on observation and provider statement, the provider did not record and sign the time of arrivals and departures on each day that the substitute provider works.
Evidence:
1. At the beginning of the inspection the substitute provider was observed providing primary care for the children present and the provider was not present.
2. The provider did not have a record of the time of arrivals and departures on each day that the substitute provider works.

Plan of Correction: I will use this form in the future.

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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