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Little Acorn Patch at Kingstowne
5801 Castlewellan Drive
Alexandria, VA 22315
(703) 822-0803

Current Inspector: Pamela Sneed (703) 479-4704

Inspection Date: March 5, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
Consultation was given on documenting all dates for medication when its a set amount of dates even when the child is absent or the medication was not returned.

Comments:
An unannounced monitoring visit was conducted today from 10:30-1:20. All rooms were in ratio with direct care staff. Observed diapering younger children, free play, Dr Sesus activities, pre-literacy skills, outside play time and preparation for lunch. Lunch served today was meat and cheese sandwiches, bananas, veggies and milk. Reviewed emergency preparation, drills, trainings for staff and medication authorizations. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on record keeping, an individual from an independent contractor has not submitted documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment. Evidence: The independent contractor's TB form is not dated or signed off by a physician or physician designee stating the date and results of the exam. Contractor started classes in the Fall of 2018.

Plan of Correction: Requesting an updated TB from the doctor for the contractor.

Standard #: 22VAC40-185-240-A
Description: Based on paperwork, documentation was missing to determine if the orientation was completed by the end of the first day of assuming job responsibilities. Evidence: Staff #1 and Staff #7's orientation paperwork was not dated or signed by the individual completing the training.

Plan of Correction: Signatures and dates will be completed.

Standard #: 22VAC40-185-260-A
Description: Based on documentation, the annual fire permit has expired. Evidence: The posted permit expired 9/30/2018 and center administration did not have a current one.

Plan of Correction: Center management will contact the Fire Marshall to schedule a new inspection.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas throughout the center are not maintained in a clean, safe or operable condition. Evidence: Paint is peeling in three classes along the walls (3 1/2, 2's and 2 1/2's classrooms)

Plan of Correction: Repairs will be made this weekend and the center will be repainted in June.

Standard #: 22VAC40-185-520-C
Description: Based on observation, a diaper cream in the Acadia classroom was expired. Evidence: Diaper cream expired 2017.

Plan of Correction: Staff immediately threw the ointment away.

Standard #: 22VAC40-185-550-F
Description: Based on observation, A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center was not posted in a visible place at each telephone. Evidence: The emergency phone list was missing by the phone in the Pre-K #2 classroom.

Plan of Correction: Posted numbers were printed and posted during the inspection.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, an employee was employed prior to obtaining a fingerprint check as required by the Code of VA. Evidence: Staff #7's date of entering the classroom was 8/16/2018 and fingerprints results were dated 8/21/2018.

Plan of Correction: Moving forward all staff will have required fingerprint results prior to entering the classroom.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review, 1 of 6 staff has not completed an out of state Central Registry finding if they lived outside the state of VA within the last five years. Evidence: Staff #1 documented on the SDS she lived out of state and no CPS check was completed within 45 days of hire (date of hire (9/2018)

Plan of Correction: Center administration is completing the paperwork and it will be mailed out today.

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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