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Miriam Medina
3233 Nealon Drive
Falls church, VA 22042
(703) 507-5650

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Aug. 15, 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
8VAC20-820 THE LICENSE.
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 completing the backyard renovation project, which involves relocating the new playground structure to ensure fall zones for slides are appropriate before use by children.

Comments:
An unannounced renewal inspection was conducted today between 12:15pm-1:10pm. There were 12 children present with the Provider and 2 assistant s for a total of 34 points within the supervision guidelines. The children were observed drinking bottles, finishing up lunch, toileting, and laying down for a nap. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, evacuation drill log, attendance and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation. If you have any questions, please e-mail me at shahana.green@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-100-A
Description: Based on a review of children's records, the provider did not obtain documentation of a physical examination for 1 out of 4 children by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1. Child #4 (doe: 10/3/2022) did not have documentation of a physical examination on file at the time of the inspection.

Plan of Correction: I will ask the parents for it today.

Standard #: 8VAC20-800-90-A
Description: Based on a review of children's records, the provider did not obtain documentation obtain documentation that all children have been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.
Evidence:
1. Child #4 (doe: 10/3/2022) did not have documentation of immunizations on file at the time of the inspection.

Plan of Correction: I will ask the parents for it today.

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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