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Elaine Whitehurst
13174 Diamond Mill Drive
Herndon, VA 20171
(703) 793-0460

Current Inspector: Miranda Wright (571) 596-3661

Inspection Date: Jan. 7, 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 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
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Consultation was given on using the model DSS medication authorization forms and on-line training opportunities for providers.

An unannounced renewal study ws conducted today from 9:50-10:55. Eight children (21 points) were with two caregivers which is within ratios for supervision. Observed infant care, free play with blocks, puzzles and trucks, bottle feeding and transition to crib for the infant in care. Space is clean and well organized. Reviewed 3 children's records, both caregivers and emergency preparation. Lunch to be served today was cheese and bologna sandwich, veggies and fruit. Training is current for the annual requirement as well as first aid, MEdication Administration Training (MAT) and CPR certification. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me.
Thank you
Ann Dramstad
Licensing Inspector

Standard #: 22VAC40-111-700-A
Description: Based on record review, written authorizations for medication had expired.
Two written authorizations for Child #1 have expired as the date the parent and physician signed the forms are older than 6 months.

Plan of Correction: Give parents new form.

Standard #: 22VAC40-111-100-A
Description: Based on record review, 1 of 3 children's record did not contain documentation of a physical exam within 30 days of attendance.
Child #3 did not have a physical exam record in the file (enrolled 3/2017).

Plan of Correction: Receive updated record.

Standard #: 22VAC40-111-90-C
Description: Based on record review, 1 of 3 children's records was missing an updated immunization record.
Child #3 was missing additional immunization documentation every 6 months. Last immunization record was 4/2018.

Plan of Correction: Receive from paernts updated records.

Standard #: 22VAC40-111-180-A
Description: Based on record review, each caregiver/adult household member did not have a current TB form every two years from the date of the previous screening.
Both caregivers' TB forms expired 9/2019.

Plan of Correction: Get updated TB tests


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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