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Arnivayana Perez-Malespin
4900 Van Masdag Court
Annandale, VA 22003
(571) 505-6575

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Nov. 13, 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
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussion on COVID-19

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

An unannounced monitoring inspection was initiated on 11/13/2020, and concluded on 12/04/2020, approximately from 9:17 am to 10:00 am. There was 1 child supervised by 1 direct care staff. The inspector emailed the provider a list of items required to complete the inspection.

The physical plant, 1 staff record, 3 household records, 1 child?s record, children activities, children's activities, emergency procedures, drills and supplies were inspected.

During the inspection, child was observed in art activity. The interactions between the children and caregivers were seen to be positive and constructive in nature.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

If you have any questions regarding this inspection, please call or email.

Eureka Nance, Licensing Inspector

Standard #: 22VAC40-111-180-A
Description: Based on records review, the provider did not maintain for each caregiver and adult household member a current Report of Tuberculosis Screening (TB) form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department.
1. Staff #1 TB expired on 10/05/2018
2. Household member #1 TB expired on 10/16/2018
3. Household member #2 TB expired on 8/30/2016
4. Household member #3 TB expired on 10/16/2018

Plan of Correction: Not available online. Contact Inspector for more information.


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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