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Karlyn Davis
8850 Creekside Way
Springfield, VA 22153
(254) 466-0782

Current Inspector: Afryea Deas (571) 835-0599

Inspection Date: July 22, 2021

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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The standards cited does not reflect the correct coding with the Department of Education codes. The correct code was provided to the provider.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program (if applicable).

A monitoring inspection was initiated on July 21, 2021, and concluded on July 22, 2021 approximately 8:22 am to 9:15 am. The director/provider was contacted by telephone and a virtual inspection was conducted. There were 9 children present, ranging in ages from one to three, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of two child records and three staff records were reviewed.

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

Should you have any questions, please contact me at eureka.nance@doe.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on children's records, 2 out of 2 records, the provider did not obtain documentation of a physical examination 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: Child #1 (date of enrollment 6/08/2021) did not have a physical examination in file to review during the inspection.

Plan of Correction: Mom sent the physical but it was missing the doctors signature, so mom resent a new form with the docotrs signature and was placed in her file.

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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