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Laura Marshall-Norris
12541 Bunche Road
Fairfax, VA 22030
(703) 929-2625

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Nov. 28, 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 unannounced renewal inspection was conducted today November 28, 2022. There were 4 children present (10 points) with 1 caregiver. The children were observed watching video's and playing with floor toys. The home, children's records, caregiver records, household member records, first aid kit, bathrooms, cots, menu's, evacuation logs, attendance logs and emergency preparedness procedures were reviewed. Areas of non-compliance were cited on the Violation Notice. If you have any questions, please contact the Licensing Inspector at tanya.johnson@doe.virginia.gov or call 571.423.6392.

Violations:
Standard #: 8VAC20-770-60-B
Description: Based on review of household member records, the family day home failed to obtain a completed sworn statement prior to the first day of residence.

Evidence:
Household member #2's record does not contain documentation of a sworn statement.

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

Standard #: 8VAC20-800-760-A-1
Description: Based on observation, the family day home failed to obtained all required supplies for the first aid kit.

Evidence:
The fist aid kit was missing adhesive tape.

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

Standard #: 8VAC20-800-100-A
Description: Based on a review of children's records, the family day home failed to obtain documentation of a physical examination by the 30th day of attendance.

Evidence:
Child #1 and #3's records do not contain documentation of a physical examination by the 30th day of attendance. Child #1's first day of attendance 8/8/2022- child #3's first day of attendance 1/10/2022

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

Standard #: 8VAC20-800-60-A
Description: Based on a review of children's records, the family day home failed to obtain all required documentation for each child enrolled.

Evidence:
1. Child # 1's record did not contain documentation of the name and address of each custodial parent's place of work.
2. Child #1's record did not contain documentation of the name address and telephone number of two designated persons to contact in case of an emergency if the parent's cannot be reached.
3. Child #3's record did not contain documentation of the address of two designated persons to contact in case of an emergency if the parent's cannot be reached.
4. Child #3's record does not contain documentation of the names of persons other than the custodial parents who are authorized to pick up the child.
5. Child #2's record does not contain documentation of the annual review of the child's emergency contact information. Last update 8/11/2021
6. Child #1 and #2's records do not contain written documentation for authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds.
7. Child # 1 and #2's records do not contain documentation of proof of the child's age and identity.

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

Standard #: 8VAC20-800-90-A
Description: Based on a review of children's records, the family day home failed to obtain documentation that the child has been adequately immunized according to the requirements of the Code of Virginia by the first day of attendance.

Evidence:
Child #1 and #3's records did not contain documentation of immunizations on the first day of attendance. Child #1's first day of attendance 8/8/2022 - child #2's first day of attendance 1/10/2022.

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

Standard #: 8VAC20-800-320-B
Description: Based on observation, the family day home failed to ensure that child resistant protective covers larger than 1 1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age.

Evidence:
In the baby room, there was a missing outlet cover on the wall with the chest of drawers.

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

Standard #: 8VAC20-800-340-C
Description: Based on observation, the family day home failed to ensure that the bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap and paper towels.

Evidence:
The sink in the bathroom is not in working order. The bathroom did not have paper towels.

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

Standard #: 8VAC20-800-430-B
Description: Based on observation, the family day home failed to ensure that accordion expansion gates and pressure mounted gates shall not be used as protective barriers at stair openings.

Evidence:
At the bottom of the stairs, there was a pressure mounted expansion gate.

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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