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Roxana Memenza
1967 Kennedy Drive
Mc lean, VA 22102
(703) 608-2487

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: June 27, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Comments:
An announced Initial inspection was conducted on 06/24/2022 from 10:15 a.m. to 11:30 a.m. There were 2 children (4
points) with the provider present today, within the supervision guidelines. Provider and 1 household member?s records
were reviewed and found complete. All children's files (2) were reviewed. The home was found clean and supplied with toys and programming equipment appropriate for the children
currently in care. Children were observed
playing with play-doh, coloring and tracing letters. Emergency procedures, provider contract, First Aid/CPR
certification was verified. Information gathered during the inspection determined non-compliance with applicable
standards or law and violations documented on the violation notice issued to the program. Thank you for your
cooperation. If you have any questions, please e-mail me at kara.vaughan@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-730-D
Description: Based on observation, medication was not kept in a locked place.

Evidence: At the time of inspection, an epi-pen was located on an open shelf above the changing table.

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

Standard #: 8VAC20-800-760-A
Description: Based on observation, the first aid kit did not contain all required items.

Evidence: The first aid kit was missing gauze pads, triangular bandages and a first aid instructional manual.

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

Standard #: 8VAC20-800-770
Description: Based on interview, there were no extra batteries for the battery-operated emergency radio.

Evidence: The provider stated that there were not enough batteries for the battery-operated emergency radio.

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

Standard #: 8VAC20-800-320-B
Description: Based on observation, protective covers were not installed on all unused electrical outlets accessible to children.

Evidence:
1. At the time of inspection, there was one outlet uncovered in the restroom.
2. At the time of inspection, there was one outlet uncovered in the living room, by the staircase.
3. At the time of inspection, there was one outlet uncovered in the living room by the couch, under the window.

Plan of Correction: Corrected during the inspection,

Standard #: 8VAC20-800-330-A
Description: Based on observation, a landline was not available during the family day home?s hours of operation.

Evidence: The provider had a cordless phone, but did not have a corded landline.

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

Standard #: 8VAC20-800-340-C
Description: Based on observation and interview, the bathroom did not contain paper towels.

Evidence:
1. The bathroom had a cloth hand towel, but did not have paper towels.
2. The provider stated that the children use the cloth hand towel to dry their hands.

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

Standard #: 8VAC20-800-430-B
Description: Based on observation, a pressure mounted gate was used as a protective barrier at the stair opening.

Evidence: The provider had a pressure mounted gate located at the stair opening at the bottom of the staircase.

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

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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