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Jasbleidy Cruz Pava
14707 Saint Germain Dr
Centreville, VA 20121
(571) 641-0932

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Aug. 21, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced renewal inspection was conducted today, August 21, 2019, from 10:00am-11:15am. There were 4 children (11 points) plus the provider's own child directly supervised by 1 staff. The home, 1 staff record, 3 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, building with blocks, and an infant was observed having play time. There was a supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the provider did not maintain all required items in the first aid kit. Evidence: The first aid kit is missing one triangular bandage.

Plan of Correction: I will get a new second triangular bandage.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: Child 1 and 2 do not have documentation of a physical examination within 30 days after the first day of attendance of 07/17/2019 .

Plan of Correction: I have contacted the parents.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider did not maintain complete records for each child. Evidence: Child 1 and 2 are missing first date of attendance, one parent work phone number, doctor phone number and street address, medical insurance policy, and the street addresses of two emergency contacts.

Plan of Correction: I contacted the person before .

Standard #: 22VAC40-111-70-A
Description: Based on record review, the provider did not give all required information to parents prior to the child's first day attendance. Evidence: Child 1, 2, and 3 are missing the address for relocation in case of evacuation and the medication administration policy.

Plan of Correction: I have contacted the parents.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation that all children are adequately immunized prior to attendance in the family day home. Evidence: Child 1 and 2 do not have documentation of being adequately immunized prior to their first date of attendance of 07/17/2019.

Plan of Correction: I have contacted the parents.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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