VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Westgate Child Center
1613 Great Falls Street
Mclean, VA 22101
(703) 893-6372

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: April 20, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed with the Director: Three Reference Letters ? These are required for any NEW individuals listed in the section for Type of Business Entity under ?Identifying Information.? Reference letters must be dated no more than 12 months prior to the date of this application from three persons who are not related to the individual by blood or marriage who have known him/her for at least one month, and who can attest to his/her character and reputation.

Comments:

An unannounced renewal inspection was conducted on 4/20/2023 from 9:45 am-1:30 pm. There were 64 children supervised by 19 direct care staff. The physical plant, 5 staff records, 6 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in circle time and playing on the playground. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact kristy.atanackovic@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-40-J
Description:	Based on record review and inteview, the injury prevention procedures were not updated at least annually. Evidence: The injury prevention procedures were last updated on 11/28/2012.
Plan of Correction:	Will be updated on a yearly basis and modified as needed.
Standard #:	8VAC20-780-40-K
Description:	Based on record review and interview, the center did not develop written procedures for the prevention of abusive head trauma. Evidence: There was no documentation of a written policy and procedure for the prevention of abusive head trauma.
Plan of Correction:	A written policy has been developed.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, one of six children's records was not updated at least annually. Evidence: 1. Child #2's record did not have an annual update confirming the child's information in the child's record was up-to-date. 2. Start date for child #2 is 8/25/2020.
Plan of Correction:	New forms have been sent out for families to complete and update.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review and interview, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: There was no documentation of a written care plan for child #1 and child #6, who both have a diagnosed food allergy.
Plan of Correction:	Will instruct parents to request written plan from their child?s physician.
Standard #:	8VAC20-780-240-B
Description:	Based on record review and interview, one of five staff records did not have an orientation completed within 7 days of the date of assuming job responsibilities. Evidence: Staff #1 (DOH 11/2/2022) record did not have documentation of receiving an orientation of their current job responsibilities.
Plan of Correction:	Staff orientation- Has been completed.
Standard #:	8VAC20-780-350-F
Description:	Based on record review and interview, the center did not develop a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff or a team of staff members. Evidence: There was no documentation of a written policy and procedure that describes how the center will ensure that each group of children receives care from consistent staff.
Plan of Correction:	In the process of putting it together.
Standard #:	8VAC20-780-510-E
Description:	Based on record review and interview, one of six long-term prescription medications did not have written authorization signed by the physician. Evidence: 1. Child #5's long-term medication authorization form was not signed by a physician. 2. The written authorization was dated 4/14/2023 to 4/14/2024.
Plan of Correction:	Will instruct parents to request written plan from their child?s physician.
Standard #:	8VAC20-780-550-D
Description:	Based on record review and interview, evacuation drills were not practiced monthly. Evidence: There was no documentation of a December 2022 evacuation drill being practiced.
Plan of Correction:	Will always be done monthly.
Standard #:	8VAC20-780-550-E
Description:	Based on record review and interview, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: There was no documentation of a shelter-in-place being practiced in 2022.
Plan of Correction:	Will have one Friday and another in six months.