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

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Feb. 27, 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 01/26/2023with another local agency from a report received by the Fairfax Licensing Office on 01/23/2023. The complaint investigation is still on going. On February 27, 2023 another inspection visit was completed. There were 11 children present (29 points) with 2 caregiver's supervising. Area of non-compliance (not related to the complaint) were cited on the violation notice. If you have any questions, please contact your licensing inspector at tanya.johnson@die.virginia.gov or call 571.423.6392.

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

Evidence:
The license states that the capacity of 7, but provider had 11 children present.

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

Standard #: 8VAC20-800-50-A
Complaint related: No
Description: Based on a review of attendance logs, the provider failed to ensure that a written record of children's attendance is completed each day.

Evidence:
At arrival, the provider had 5 names on the attendance log, but there were 11 children in attendance.

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 all required documentation is obtained for every child enrolled.

Evidence:
1. Child #1, #2,#4 and #5's records do not contain documentation of the work place name, address and telephone number of each parent who has custody.
2. Child #5's record does not have 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 #: 8VAC20-800-200-A
Complaint related: No
Description: Based on a review of records, the provider failed to orient the substitute prover and assistant by the end of their first week of assuming job responsibilities.

Evidence:
Caregiver #2's record does not contain documentation of orientation by end of first week of assuming job responsibilities.

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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