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Madison Day School
722 North Henry Street
1106 Madison Street
Alexandria, VA 22314
(703) 299-9800

Current Inspector: Jenifer Nalli (703) 309-9153

Inspection Date: April 26, 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 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Technical Assistance:
Relating to organizing paperwork.

Comments:
An unannounced monitoring inspection was conducted today between 9:50am and2:30pm. There were 105 children present with 22 staff members. The entire physical plant and playground area was inspected. The children were observed working on art projects, singing, listening to stories and playing in large and small groups. Staff/children's records, emergency plans, emergency supplies, menus, attendance records and evacuation drills were reviewed. Areas of non compliance were cited on the Violation Notice. If you have any questions please contact me at Tanya.Johnson1@dss.virginia.gov or call me at 571.423.6392.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on review of children's records, the center failed to ensure that records were current and up to date for each child enrolled. Evidence: 1) Child #3 and #4's files did not have documentation of a physician's phone number. 2) Child #2 and 4's files did not have authorizations for emergency pick up. 3) Child #4's file did not have any immunization or physical information. 4) Child #5's file did not have documentation of immunization on the first day of attendance.

Plan of Correction: I will contact the parents and collect the information and place in children's files.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center failed to ensure that areas of the center inside and outside shall be maintained in a clean, safe and operable condition. Unsafe condition shall include but not be limited to chipped or peeling paint. Evidence: 1) In Jr. Pre School 1 the paint is chipped in the corner near the sand and water table and on the door frame near the corner. The paint has also chipped off the wall under the bulletin board. 2) In Jr. Pre School 2 the paint has chipped off the long wall under the windows.

Plan of Correction: We will repainting next weekend.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center failed to ensure that hazardous substances such as cleaning material will be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1)Clorox and cleaning products are stored in the unlocked cabinet under the kitchen sink. 2) Lysol stored on a shelf in bathroom in Jr. Preschool 1

Plan of Correction: I will put a lock on the cabinet.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the center did not ensure that a non-absorbent surface for diaper or changing is used. Evidence: The changing paid on the diaper changing table in Infant1 has a small tear on it and therefore is no longer non-absorbent.

Plan of Correction: We will replace it.

Standard #: 22VAC40-185-510-D
Description: Based on observation, the center failed to ensure that medication authorization will be available to staff during the entire time it is effective. Evidence: The over-the-counter medication for Child #6 had an expired medication authorization.

Plan of Correction: I have e-mailed the parents to sign a new form today.

Standard #: 22VAC40-185-540-C
Description: Based on observation and review, the center failed to ensure that the first aid kits contained the required supplies; Evidence: 1) Toddler 1's first aid kit was missing an ice pack, tweezers, and a thermometer. 2) Jr. Pre School 1's first aid kit was missing tweezers, band aids and an ice pack. 3) Jr. Pre School 2's first aid kit was missing tweezers, a thermometer, an ice pack and a first aid manual. 4) Toddler 2's first aid kit was missing band aids and an ice pack. 5) Toddler 1's first aid kit was missing band aids and an ice pack. 6) Infant 1's first aid kit was missing a first aid manual and an ice pack. 7) Infant 2's first aid kit was missing band aids and an ice pack.

Plan of Correction: We will re-stock the first aid kits.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on staff record review, the center failed to ensure that employee submit to search of central registry record check within thirty days of employment. Evidence: Staff #2's file does not have documentation of a Central Registry check within 30 days of employment. Staff #2's date of employment was 2/5/2019.

Plan of Correction: We have mailed the form twice, but it has not been returned.

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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