VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America- Manassas Bull Run
11730 Sudley Manor Drive
Manassas, VA 20109
(703) 335-7700

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: June 28, 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. 8VAC20-770 Background Checks (22VAC40-191) 22.1 Early Childhood Care and Education

Technical Assistance:

Discussed: Policy or procedure should be given to parents in writing especially related to policies regarding drop off/sign in Supplies and materials should be accessible to children. Cubbies/bookshelves/storage cubes should not be turned around facing the wall to prevent access by children. Discussed required information for children?s records including emergency contacts, parent/guardian information. Discussed allergy action plans, Medication Administration Training (MAT) requirements, medication requirements, allergy requirements Playground procedures, playground policies

Comments:

An unannounced renewal inspection was conducted with the director beginning at 10:15 a.m. and ending at 3:00 p.m. There were 53 children in care ages 3 months through 5 years old under the supervision of 10 staff. The school agers were on a field trip at the movies during the bulk of the inspection. Childcare areas, supplies and materials were observed. Infants were observed having play time on the floor, being held, and on a buggy ride for outdoor time. Two year olds were observed during outdoor play, transition time, and preparing for lunch. Three, four and five year olds were observed during outdoor play, transition time and preparing for lunch. Lunch was bagels, turkey sausage patty, hash brown, apples and milk. Seven staff records and seven children's records were reviewed. Three medications and authorizations were reviewed. Staff training was reviewed. Emergency drills 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. If you have questions regarding this inspection, contact Stephanie Reed at Stephanie.Reed@doe.virginia.gov

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on review of documentation, the center failed to obtain immunizations for each child enrolled by the first day of attendance. Evidence: Child #1, enrolled 6/12/2023, Child #2, enrolled 6/12/2023, Child #4, enrolled 1/5/2023 did not have documentation of immunizations on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-E
Description:	Based on review of documentation, the center did not obtain documentation of additional immunizations every six months for children under the age for two years old. Evidence: Child #5, age 10 months, most recent immunizations were dated 8/2/2022. Child #7, age 10 months, most recent immunizations were dated 10/12/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-L
Description:	Based on review of documentation, medications and interview with staff, the center failed to ensure that all staff who work with children were informed of children?s allergies. Evidence: Child #8, has an epi pen on site with an authorization that indicates ?give for a food allergy? signed off by the physician and parent in March 27, 2023. Staff were unable to inform the licensing inspector of the food the child was allergic to and the parent was called during the inspection. During the call with the parent, the parent reminded staff that the documents in question were emailed in March 2023.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-M
Description:	Based on review of documentation, the center failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions. Evidence: On June 28, 2023, the center's allergy list was not current and did not include the allergies of Child #8, the allergy of Child #9, Child #10's egg allergy or Child #11's walnut allergy
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on review of documentation, the center failed to maintain a complete record with all required information. Evidence: Child #1, enrolled 6/12/2023, did not have full addresses for two emergency contacts. Child #3, no start date recorded, did not have a second emergency contact, phone number and full address. Child #4, enrolled 1/5/2023, did not have a full address for a second emergency contact. Child #6, enrolled 1/23/2023, did not have two emergency contacts, telephone numbers and addresses.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of documentation and medication authorizations, the center failed to obtain a written care plan for each child with a diagnosed food allergy that includes the instructions from the physician regarding which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #8 had an epi pen on site with an authorization that indicated a "Severe Food Allergy Reaction" and there was not documentation of a written care plan for the diagnosed food allergy nor the food to which the child was allergic to. Child #9 had an Auvi Q on site and authorization indicated a Food Allergy and there was no documentation of an allergy care plan nor the food to which the child was allergic. Child #10 had an epi pen and authorization indicated egg and peanut allergy and there was no written care plan. Child #11 has diagnosed food allergies to walnut, egg and peanut and there was no written care plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-80-A
Description:	Based on observation, not all children were recorded on the attendance record. Evidence: In the infant room, there were three infants but only two were on the attendance sheet. In the two's room during outdoor play, there were seven children on the attendance sheet and eight children present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-J-3
Description:	Based on review of medication, review of documentation and interview with staff, the center did not ensure there was a staff current in required Medication Administration Training (MAT) for AuviQ injector. Evidence: Child #9 has an AuviQ medication on site as of 6/6/2023 and no staff were currently trained in AuviQ MAT.
Plan of Correction:	One staff completed the online AuviQ MAT on the same day as the inspection
Standard #:	8VAC20-780-270-A
Description:	Based on observation, not all areas and equipment were maintained in clean, safe and operable condition. Evidence: 1.On the two?s playground, there is a plastic, composite storage shed that is open and filled with supplies, cobwebs and has a broken door that is jagged and rough on the top that creates a scratching hazard. After waterplay on the two?s playground, the hose was left stretched out on the concrete walkway and it created a tripping hazard. 2.In the two?s classroom, there are two small holes in the carpeted wall and the drywall is exposed/accessible and flakes off. 3.In the two?s room and preschool 2a classroom, the majority of the books in the bookcases are ripped, missing covers and pages and in poor condition
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, not all potentially hazardous substances such as cleaning materials were kept in a locked place. Evidence: In the preschool 2 b classroom, there was a container of disinfectant spray on the counter behind the sink faucet and in the under the sink cabinet, the sanitizer was unlocked. In the toddler classroom, there were sanitizing tablets that were labeled keep out of reach of children/irritant in a high unlocked cabinet.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-A
Description:	Based on observation, review of documentation and staff interview, staff of the center did not always ensure the care, protection and guidance of children in care. Evidence: 1. On the two?s playground, preschool 2a was on the playground and the attendance and movement sheet documented 7 children and the staff assigned reported having 7 children in care. There were physically 8 children present. 2. During transition time after water play, children were observed playing with the hose that was turned off, stretching it across the playground area, creating a tripping hazard and `whipping it? around. This continued for several minutes before staff intervened to redirect children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, not all diapering requirements were met including a disposal system that has a foot operated and the diapering surface only being used for diapering. Evidence: In the Preschool 2B classroom, disposable diapers were observed in an open trash can in the bathroom. In the toddler room, there were two boxes of gloves, a box of plastic bags, a container of blocks and clothing stored on the diapering pad.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-520-C
Description:	Based on observation, the center did not follow requirements for diaper ointments. Evidence: In the two?s classroom, in the diaper changing table, the doors are removed and there are eight diaper ointments accessible to children in care. There were two diaper ointments that were not labeled with the child's name.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-F
Description:	Based on review of documentation, the center did not ensure lockdown procedures were practiced at least annually. Evidence: There was no documentation of a lockdown drill for 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.