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Etelbina Marroquin
6720 Edsall Road
Springfield, VA 22151
(209) 404-7157

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Jan. 26, 2023

Complaint Related: Yes

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:
A complaint investigation was initiated on 01/26/2023 with another local agency from a report received by the Fairfax Licensing Office on 01/23/2023.
The complaint Investigation is on going at this time. Information gathered (unrelated to the complaint) during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions, please contact your licensing inspector at tanya.johnson@doe.virginia.gov or call 571.423.6392.

Violations:
Standard #: 22.1-289.035-B-2
Complaint related: No
Description: Based on a review of records, the provider did not obtain Criminal History Records check prior to the first day of employment.

Evidence:
Caregiver #2's record does not have documentation of a criminal history records check by the first day of employment. First date of employment 11/04/2022.

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

Standard #: 8VAC20-770-60-C-2
Complaint related: No
Description: Based on a review of caregiver records, the provider failed to obtain central registry background check results by the 30th day of employment.

Evidence:
Caregiver #2's record does not contain documentation of a central registry background check by the 30th day of employment. The first day of employment was 11/04/2022.

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

Standard #: 8VAC20-800-100-A
Complaint related: No
Description: Based on a review of children's records, the provider failed to obtain documentation of a physical examination by or under the director of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Evidence:
1. Child #5's record does not contain documentation of a physical by the 30th day of attendance. The first day of attendance was 04/06/2021.

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

Standard #: 8VAC20-800-40-A
Complaint related: No
Description: Based on observation, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.

Evidence:
At the time of the inspection, the provider had 10 children present, the licensed capacity is 7.

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

Standard #: 8VAC20-800-50-B
Complaint related: No
Description: Based on discussion with provider and observation, the provider failed to maintain records in the home and that they are made accessible to the department's representative.

Evidence:
At the time of the inspector's arrival, the staff records were not on site. The records were brought to the family day home during the inspection.

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

Standard #: 8VAC20-800-60-A
Complaint related: No
Description: Based on discussion with provider and observation, the provider failed to ensure that children's records shall be maintained and up to date at the family day home for each enrolled child.

Evidence:
At the inspector's arrival, there were no children's records on site. They were brought to the building during the inspection.

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

Standard #: 8VAC20-800-60-B
Complaint related: No
Description: Based on a review of children's records, the provider failed to ensure that children's records contain all required documentation.

Evidence:
1. Child #1's record does not contain documentation of the names of persons other than the custodial parents who are authorized to pick up the child.

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

Standard #: 8VAC20-800-90-A
Complaint related: No
Description: Based on a review of children's records, the provider failed to ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the Code of Virginia.

Evidence:
Child #5' record does not contain documentation of immunization on the first day of attendance. The first day of attendance was04/06/2021.

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

Standard #: 8VAC20-820-120-E-1
Complaint related: No
Description: Based on observation, the center failed to ensure that the most recently issued license shall be posted.

Evidence:
The Conditional License issued to the provider was not posted.

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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