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Lina Calizaya Rocha
5204 N. Carlin Springs Road
Arlington, VA 22203
(703) 807-0554

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: June 23, 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
8VAC20-770 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

Technical Assistance:
Discussed with provider:
Increase in capacity: Please contact me once you receive the new Zoning form from the county.

Comments:
An unannounced monitoring inspection was conducted today. There were 7 children present (3 points) with 2 caregivers.
Children were observed resting quietly and playing with a variety of age appropriate toys and books.
Emergency evacuation drills, emergency supplies, first aid supplies, first aid/CPR certifications, fridge/freezer temperatures, posted documents and the menu are all in compliance.
3 caregiver/household member records and 4 child records were reviewed. See Violation notice for non-compliances cited.
If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.marbert@doe.virginia.gov.
LI was present today from 10:03 AM - 11:20 AM.

Violations:
Standard #: 22.1-289.036-A
Description: Based on a review of records, one caregiver record a ne household member record did not contain documentation of a repeated nationwide fingerprint search within the allowable 5 year time frame.
Evidence:
1. Caregiver A's record did not contain a repeated nationwide fingerprint search result dated within the last 5 years. The results on file are 3/28/18. (expired)
2. Household member #1's records did not contain a repeated nationwide fingerprint search result dated within the last 5 years. The results on file are dated 4/1/18 (expired).

Plan of Correction: I will fill out the fingerprint form and get my fingerprinted.

Standard #: 8VAC20-800-750-A
Description: Based on review of records, one child record did not contain documentation of an annually updated authorization to apply diaper ointment.
Evidence:
Child #6's record contained an authorization for diaper cream ointment dated 3/7/22. (expired)

Plan of Correction: I will ask Child 6 parents to fill out the form once they are back from vacation.

Standard #: 8VAC20-800-780-B
Description: Based on a review of records, child records did not contain documentation of a annual review of information,
Evidence:
2 of 7 records reviewed had not been reviewed annually.
1. Child #4's record was dated 6/9/22.
2. Child #7's record was dated 3/7/22

Plan of Correction: I will review documents and ask parents to review as well.

Standard #: 8VAC20-800-60-B
Description: Based on a review of records, one child record did not contain documentation of all required information.
Evidence:
1 of 7 records reviewed did not contain complete information for a second emergency contact.
(Child 7)

Plan of Correction: I will ask child 7 parents to fill out the information.

Standard #: 8VAC20-800-180-A
Description: Based on a review of records, one caregiver and one household member's records did not contain a current TB screening result every two years from the date of the last report.
Evidence:
1. Caregiver A's screening result on file is dated 11/25/2020. (expired)
2. Household member #1's screening result is dated 11/25/2020. (expired)

Plan of Correction: I will visit my doctor to complete a TB screening.

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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