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Mary Ugarte
187 Alpine Drive
Leesburg, VA 20175
(703) 581-0248

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Jan. 22, 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
22VAC40-191 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

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, the recent renewal of the MAT certification for both Staff #1 and Staff #2, and a reminder that there are 3 updates soon to be due for immunization pages of three children who are currently under the age of 2 years.

The following inspection took place between the hours of 10 am through 1 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in the town of Leesburg, Virginia. At the start of this unannounced renewal inspection there were a total of 5 children observed (16 points) with 2 caregivers. A total of 6 children?s files, and 3 staff files were reviewed. The children were engaged in the following: toy play, nap time, diapering, hand washing, learning, lunch, music, and other organized activities. If you should have any future questions, please call or send an e-mail to Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Standard #: 22VAC40-111-780-B
Description: Based on review, 1 of 6 children files indicated that annually, the Provider did not review with the parent the emergency contact information (required in 22 VAC 40-111-60 B 2) to ensure that the information was correct, and obtained the parent's signed acknowledgment of this review.

Evidence -
1. On the date of inspection (01/22/2020), that last signed acknowledgment of a review for Child #2 was dated - 09/24/2018.
2. The Provider confirmed this review on the date of inspection.

Plan of Correction: The Parent of Child #2 shall review this information, and (if needed) update and/or change where applicable. This review shall be documented with the current date and with the signature from the Parent of Child #2.

Standard #: 22VAC40-111-60-B
Description: Based on review, 1 of 6 children files indicated that not all of the required information/documentation was contained within each child's record.

Evidence -
1. On the date of inspection (01/22/2020), the written authorization for emergency medical care for Child #6 (should an emergency occur and the parent cannot be located immediately) was not available for review.
2. There also was not a written objection to the provision of medical treatment on religious or other grounds for Child #6.
3. It appears that this section of the child's record was not completed and has now been highlighted by the Provider for the Parent of Child #6 to fill-in. The start date for Child #6 was listed as 01/21/2020.

Plan of Correction: The Parent of Child #6 shall complete; sign and date this authorization.


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. To find programs participating in Virginia Quality, click here.

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