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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Children's Place
860 Dranesville Road
Herndon, VA 20170
(703) 437-8884

Current Inspector: Mary J. Wizbicki (703) 479-4707

Inspection Date: April 25, 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.
63.2 Facilities & Programs.
22VAC40-665 PROGAMS

Technical Assistance:
Discussed the location of the posted Violation Notice.

Comments:
An unannounced monitoring inspection was completed today. The physical plant, 5 staff files, 5 children's files, annual fire and health inspection, staff training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected between 1:15-3:50pm. There were a total of 45 children with 7 staff; all ratios were in compliance. For lunch, the children were served cheeseburger meatloaf, a wheat dinner roll, corn, applesauce and milk. The children were observed participating in circle time, learning about colors, reading books, listening to music and resting during naptime, listening to music. Earlier today, the center had the annual fire inspection and an evacuation drill was completed. There are no children with any medication needs at this time. The center was listed as a Subsidy Vendor. However, during the inspection, the Director called to have the vendor contract terminated. If you have any questions or concerns, please feel free to contact me at mary.wizbicki@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on file review, 1 out of 5 children's records does not have additional immunizations every six months up to the age of 2 years. Evidence 1. Child #1 is 21 months old. The most recent immunization was completed when the child was 6 months old.

Plan of Correction: The parent is out of the country and will return on May 10th. I will ask for this when they return.

Standard #: 22VAC40-185-140-A
Description: Based on file review, 1 out of 5 children's records does not have a physical examination. Evidence 1. Child #2 does not have a physical on file.

Plan of Correction: We will ask the parents for this.

Standard #: 22VAC40-185-160-C
Description: Based on record review, 3 out of 5 staff did not obtain subsequent tuberculosis (TB) test results every two years. Evidence 1. Staff #2's most recent TB test results are dated 3/2/17. 2. Staff #3's most recent TB test results are dated 3/10/17. 3. Staff #5's most recent TB test results are dated 9/13/16.

Plan of Correction: These will be completed again.

Standard #: 22VAC40-185-210-A
Description: Based on file review, 2 out of 5 staff records indicate that they are Lead teachers. However, they do not have documentation to support that they are qualified to be a Lead Teacher. Evidence 1. Staff #4 and #5 not have documentation that would qualify them to be a Lead teacher.

Plan of Correction: The staff will look into obtaining a CDA.

Standard #: 22VAC40-185-240-C
Description: Based on file review, 4 out of 5 staff do not have documentation of having attended at least 16 hours of staff development training annually. Evidence 1. Staff #1-4 do not have documentation of having received 16 hours of training in 2018.

Plan of Correction: We will work on having these hours completed this year.

Standard #: 22VAC40-185-270-A
Description: Based on observations, there were areas of the center which were not maintained in a safe condition. Evidence 1. In the Toddler classroom, there were sections of the baseboard heater which were detached or missing. This creates a pinching or possible entrapment hazard.

Plan of Correction: These areas will be fixed.

Standard #: 22VAC40-185-280-B
Description: Based on observations, there were cleaning materials left in an area accessible to children. Evidence 1. In the bathroom downstairs, there were cleaning supplies in the cabinet under the sink, which was not locked.

Plan of Correction: This cabinet will be locked.

Standard #: 22VAC40-185-440-E
Description: Based on observations, there were occupies cribs and cots, which were not spaced at least 12 inches apart. Evidence 1. In the Older Infant room, there were cribs placed with less than 12 inches of space between them. 2. In the downstairs area, there were children resting on cots with less that 12 inches of space between them.

Plan of Correction: These will be moved to allow for the space needed.

Standard #: 22VAC40-185-570-E
Description: Based on observation, infant bottles were not labeled with today's date. Evidence: 1. The refrigerator in the Older infant classroom contained 4 bottles that did not contain the date. 2. The refrigerator in the Infant classroom contained 1 bottle that did not contain the date.

Plan of Correction: I will remind staff to have this completed each day.

Standard #: 63.2(17)-1721.1-B-3
Description: Based on file review, 1 out of 5 staff records had documentation of having lived outside of Virginia within the past 5 years. However, there is no Search of the Central Registry (SCR) completed for that state. Evidence 1. Staff #5 has documentation of having lived in Maryland within the past five years. The SCR for this state has not been completed.

Plan of Correction: The Director will complete this.

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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