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Moyra Revollo Aranibar
5901 Heritage Square Drive
Burke, VA 22015
(703) 340-0981

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Jan. 18, 2024

Complaint Related: No

Areas Reviewed:
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
8VAC20-800 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

Technical Assistance:
The licensing inspector discussed model forms, postings and best practices with the provider.

Comments:
An announced initial inspection was conducted today from approximately 9:30am-10:45am. There were 2 children in the direct care and supervision of 1 caregiver. A sample of 2 children?s records, and 1 caregiver's record were reviewed. The children were observed playing and engaged with the caregiver. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-760-A-1
Description: Based on observation, the first aid kit was missing minimum requirements.

Evidence:
The first aid kit was missing tweezers.

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

Standard #: 8VAC20-800-800-A
Description: Based on observation, the family day home did not have a complete emergency preparedness and response plan.

Evidence:
The emergency preparedness and response plan on site was incomplete.

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

Standard #: 8VAC20-800-60-B
Description: Based on record review, a child's record was missing required information.

Evidence:
Children A, B and C were missing the following required information: liability insurance waiver, swimming permissions, medication administration disclosure and information for parents form.

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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