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Ana Vargas
7803 Harwood Place
Springfield, VA 22152
(703) 644-1593

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Dec. 8, 2021 and Dec. 9, 2021

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 Emergencies
22VAC40-111 Nutrition
22.1 Background Checks Code; carbon monoxide detectors

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program.

A renewal inspection was initiated on 12/08/2021 and concluded on 12/09/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 5 children present, with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, personnel, household members, physical environment and equipment, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 2 caregiver records were reviewed. Backgrounds were also reviewed for all household members. 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 #: 22.1-289.036-B-1
Description: Based on record review, the provider did not obtain a sworn statement of affirmation every 5 years for one household member.

Evidence:
The most recent Sworn Statement in the record for Household Member #1 was dated 07/27/2016.

Plan of Correction: Corrected during inspection.

Standard #: 8VAC20-800-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for one child.

Evidence:
1. The physical in the record for Child #1 (start date 9/6/2021) was dated 11/18/2021.

Plan of Correction: The physical was obtained and placed in the child's record.

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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