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Loudoun P&R - Lowes Island CASA
20145 Ashbrook Place
Suite 170
Ashburn, VA 20147
(703) 444-1645

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: Oct. 16, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.

Technical Assistance:
Encouraged site supervisor to have a discussion with parents regarding one child in particular who requires multiple medications due to a health condition, and obtaining more thorough instructions on which medications to administer when.

Comments:
Today an unannounced monitoring inspection was conducted starting at 2:15pm and ended at 4:00pm. There were 50 children present today with 4 staff. Children were observed arriving from school, greeting staff, playing chess, coloring, doing homework and playing on the playground. 11 medications with authorizations were reviewed. Medication Administration Training (MAT) and First Aid/CPR certifications were checked today. Staff records are reviewed annually in the administrative office. Please email me at whitney.mcgrath@dss.virginia.gov with any questions or clarification needed.

Violations:
Standard #: 22VAC40-185-510-A
Description: Based on a review of medications and authorizations, the center has kept medication on site without parental permission to administer the medication. Evidence: Child #3 has emergency medication kept on and there is no written authorization from the parents to administer the medication. Child #4 has emergency medication kept on site and the authorization that has been provided is a permission form for the public schools to administer the medication, which does not authorize CASA to administer. Child #5 has emergency medication kept on site and the parents have not filled out the medication authorization form in it's entirety.

Plan of Correction: We will talk to the parents about obtaining new forms to be signed.

Standard #: 22VAC40-185-510-N
Description: Based on a review of medications and authorizations, medications with expired authorizations were not returned to parents within 14 days. Evidence: Child #5's medication authorization expired 8/14/2018 and the medication was kept on site.

Plan of Correction: We will talk to the parents about obtaining new forms to be signed.

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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