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Kimberly Spivack
14704 Bonnett Terrace
Centreville, VA 20121
(703) 314-8261

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: July 26, 2021

Complaint Related: No

Areas Reviewed:
Administration
Personnel
Household Members
Physical Health of Caregivers and Household Members
Caregiver Training
Care of Children
Preventing the Spread of Disease
Medication Administration
Emergencies
Nutrition

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review.

A monitoring inspection was initiated on July 21 2021 and concluded on July 26 2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 3 children present, with 1 staff supervising. The inspector reviewed compliance in the areas of administration, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 2 staff/household records were reviewed.

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

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain, for each caregiver and adult household member, a current Report of Tuberculosis Screening form every two years from the date of the first screening.

Evidence: Record A and Record B had documentation that listed the date of the last screening as June 10, 2019

Plan of Correction: Provider told the licensing inspector that she will go to the minute clinic and get it completed.

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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