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Easter Seals Child Development Center of Northern Virginia
300 Hunton Avenue
Falls church, VA 22046
(703) 534-5353

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: May 10, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced renewal inspection was conducted today from 9:45am-3:45pm. There were 100 children (infants-5yrs.) supervised by 26 direct care staff. The physical plant, 5 staff records, 10 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed singing and dancing, transitioning to the playground, painting with watercolors, riding bicycles, and engaging in circle time. Diapering and hand-washing procedures were also observed. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. If you have any questions regarding this inspection, please contact the Licensing Inspector, Anansa Archer-Hicks at (703) 268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record review, not all staff records contained documentation of current TB screenings. Evidence: Staff #2 (date of hire: 7/2015) and #3 (date of hire: 8/2017) did not have documentation of a TB screening available during the time of inspection.

Plan of Correction: We will ask staff to obtain TB documentation.

Standard #: 22VAC40-185-60-A
Description: Based on record review, not all children's records were found to be complete during the time of inspection. Evidence: 1. 7 of 10 children's records did not have documentation of annual updates of emergency contact information as required. 2. Child #8's record did not have documentation of a work phone number for a parent.

Plan of Correction: The emergency information updates will be obtained. The missing work phone number will be obtained today.

Standard #: 22VAC40-185-240-A
Description: Based on record review, there was no documentation of orientation to licensing standards by the first day of assuming job responsibilities. Evidence: 5 of 5 staff records did not have documentation of licensing orientation training.

Plan of Correction: We will have staff review during our upcoming Professional Development Day.

Standard #: 22VAC40-185-270-A
Description: Based on observation, some areas and equipment were not maintained in a safe or operable condition. Evidence: 1. There was chipped and peeling paint observed in 2 classrooms. 2. There were missing handlebar covers on a tricycle found outside on the playground. 3. The resilient surfacing had a depression in an 18 inch circle on the Pre-Kindergarten playground, causing a tripping hazard. There was also a 3.5 inch gap in height between the grass and the cement surface top.

Plan of Correction: The chipped paint will be covered by posters or tape immediately. We will have someone come in to perform touch-ups to paint by June 24. We will throw away the tricycle. The gap will be filled temporarily by May 19. We will contact a vendor to repair the depression on the resilient surfacing.

Standard #: 22VAC40-185-280-B
Description: Based on observation, cleaning materials were not kept in a locked place as required. Evidence: Cleaners were observed in unlocked areas in all classrooms.

Plan of Correction: We will move the cleaners to cabinets with locks.

Standard #: 22VAC40-185-500-A
Description: Based on observation, not all required handwashing and toileting procedures were followed during the time of inspection. Evidence: Staff #6 was observed not washing his or her hands with soap and warm running water after performing a diaper change.

Plan of Correction: We will retrain staff on diaper changing and hand washing procedures. We will speak with the teacher and give her a reminder.

Standard #: 22VAC40-185-500-B
Description: Based on observation, not all diapering procedures were followed as required. Evidence: 1. Staff #6 was observed disposing of a soiled diaper in a manner that did not prevent a hand from touching the exterior surface of the foot operated trash can. 2. A diaper changing pad was observed with a rip in it, causing it to become non-absorbent.

Plan of Correction: Diaper changing pads with rips will be replaced today. We will remind the teacher to use the pedal when opening the trash can.

Standard #: 22VAC40-185-510-A
Description: Based on a review of medications and records, not all medications followed the center's procedures for medication. Evidence: 1. 2 of 3 children's medications had expired medication authorization forms during the time of inspection. Child #1's medication authorization form expired 10/7/2017. Child #8's medication authorization expired 3/2016. 2. Child #9's medication authorization form did not have documentation of a physician's signature.

Plan of Correction: We will provide the parents with new medication authorization forms to be completed by physicians.

Standard #: 22VAC40-185-510-J
Description: Based on observation, not all prescription medications were kept in a locked place. Evidence: 3 of 3 medications were observed in bags that did not contain a locking method that prevents access by children. 2 medications were found in a backpack, along with first aid supplies.

Plan of Correction: We will order locks for the medications

Standard #: 22VAC40-185-550-B
Description: Based on observation, during today's inspection, the posted emergency preparedness plan did not contain all required components. Evidence: There was no documentation of an identified secondary emergency evacuation route.

Plan of Correction: We will updated the current evacuation maps to reflect secondary evacuation routes with a different color ink.

Standard #: 22VAC40-185-550-M
Description: Based on record review, all injury reports did not contain documentation of all required information. Evidence: 1. 5 of 11 injury reports did not contain documentation of the method and time of parent notification. 2. 1 of 11 injury reports did not contain documentation of a parent signature.

Plan of Correction: Administrators will verify that all incident reports are completed in entirety.

Standard #: 63.2-1720.1-B-3
Description: Based on record review and staff interview, 2 of 5 staff records did not contain documentation of a completed out of state central registry check. Evidence: Staff #2's (date of hire: 7/15) and Staff #3' (date of hire: 8/2017) sworn disclosure statements indicated that the individuals lived out of state within the past 5 years. There was no documentation of an out of state central registry check during the time of inspection.

Plan of Correction: We will send out of state background checks.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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