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Irma Puza
6913 Rolling Road
Springfield, VA 22152
(703) 505-2806

Current Inspector: Sarah Zirzow (703) 479-4675

Inspection Date: Nov. 30, 2020

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 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

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A renewal inspection was initiated on November 30, 2020 and concluded on November 30, 2020. The provider was contacted by telephone to initiate the inspection. There were six children(11pts) present and three staff. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed two children?s records, three household records, and three staff records submitted by the facility to ensure documentation was complete.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Thank you for your cooperation today. If there are any questions, please contact karen.dickens@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not annually review with the parent the emergency contact information to ensure the information is correct.

Evidence:
Child #2's record (First date of attendance-04/22/2019) did not have a signature indicating a one year review.

Plan of Correction: The provider will have the parent to review the emergency contact information and sign the document to indicate that the information is up to date and correct.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records did not contain required information.

Evidence:
Child #2's record did not contain documentation of name and policy number of the child's medical insurance.

Plan of Correction: The provider will obtain the name of the insurance and policy number and update the record.

Standard #: 22VAC40-111-70-A
Description: Based on record review, parents were not provided in writing whether there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by ? 63.2-1809.1 of the Code of Virginia prior to the child's first day.

Evidence:
Child #1's (First date of attendance-11-16-2020) and Child #2's(First date of attendance-08/05/2019) record did not have signed documentation of receipt of Liability Insurance prior to the child's first day of care.

Plan of Correction: The provider will give the information to the parents and place the documents in each record.

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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