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OFC/SACC - Belvedere
6540 Columbia Pike
Falls church, VA 22041
(703) 916-6860

Current Inspector: Kara Wright (703) 537-6241

Inspection Date: April 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.
22VAC40-80 THE LICENSING PROCESS.
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced renewal inspection was conducted today from 8:25am-9:30am. At the beginning of the inspection there were 18 children directly supervised by 2 staff. The physical plant, staff training records, 5 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were being dropped off and greeted by staff, playing board games and coloring. Hand-washing procedures were also observed. There was an abundant supply of materials for the children. 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. The center was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-185-240-D-4
Description: Based on record review, children for whom emergency medications have been prescribed were not always in the care of a staff member or independent contractor who meets the requirements to administer the medication. Evidence: Child 2 requires emergency medication to be present at the center. On the date of inspection there was no documentation present to support that any staff member present at the facility had received the required training necessary to administer the emergency medication.

Plan of Correction: Currently working with the county to obtain the required training.

Standard #: 22VAC40-185-280-B
Description: Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Cleaning chemicals were observed to be stored in cabinets under the sink in room 1 and room 2. The cabinets are outfitted with a rope style bike lock which is looped in such a way that the cabinets can be opened and the chemicals assessed with the locks in place.

Plan of Correction: The cabinets will be secured.

Standard #: 22VAC40-185-550-D
Description: Based on record review, a monthly evacuation drill was not practiced each month. Evidence: There was not record that an evacuation drill was conducted in February 2019.

Plan of Correction: A fire drill was conducted but was not recorded on the form. IN the future we will document the evacuation drills.

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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