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Gennadiy Perederiy
5809 Boothe Drive
Burke, VA 22015
(703) 725-7555

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Jan. 3, 2023

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
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:
An announced initial monitoring inspection was conducted from 2:00 pm through 3:00 pm. A tour of the home was conducted, records were reviewed, and the provider was interviewed. There were no children in care. There are no household members or additional staff at this time.The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition.

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.

Thank you for your cooperation today. If there are any questions, please contact karen.dickens@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-760-A-1
Description: Based on observation and interview, the first aid kit did not contain the required supplies.
Evidence:
1. The first aid kit did not contain tweezers and a First Aid Instruction Manual.
2. Caregiver #1 confirmed that the first aid kit did not contain tweezers and a First Aid Instruction Manual.

Plan of Correction: The provider will purchase tweezers and a first aid instruction manual for the first aid kit.

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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