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Easter Seals Child Development Center of Northern Virginia
300 Hunton Avenue
Falls church, VA 22046
(703) 534-5353

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: Oct. 30, 2019

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.
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:
Discussed over-the-counter ointments and authorizations, and staff resumes/applications.

Comments:
An unannounced monitoring inspection was conducted today from 9:30am-2:15pm. There were 110 children (infants-5yrs.) supervised by 26 direct care staff. The physical plant, 8 staff records, 10 children?s records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed painting pumpkins, participating in soccer class, playing dress-up, learning the letter "G" and the number "6", engaging in reading time, and playing freely. Diapering and hand-washing procedures were also observed. There was a sufficient amount of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice.

If you have any questions regarding this inspection, please contact the Licensing Inspector, Anansa Archer-Hicks at (703) 268-3295, or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, 5 of 10 children's records did not contain documentation of all required information.

Evidence:
1. Child #3's (start date: 9/25/2017) record did not contain documentation of a completed physical form signed by a physician within 30 days of attendance.
2. Child #1 (2 years old; start date: 4/3/2017), Child #2 (2 years old; start date: 10/4/2019), Child #3 (2 years old; start date: 9/25/2017), Child #4 (3 years old; start date: 10/11/2016), and Child #6's (3 years old; start date: 4/10/2017) records did not contain documentation of verification of proof of identification.

Plan of Correction: We will have parents provide proof of ID by 11/1/2019, and the completed physical by 11/8/2019.

Standard #: 22VAC40-185-70-A
Description: Based on record review, 2 of 8 staff records did not include documentation of all required information.

Evidence: Staff B's (date of hire: 8/26/2019) record did not include documentation of two completed reference checks as to character, reputation, and competency before employment.

Plan of Correction: We will have references completed by 11/8/2019.

Standard #: 22VAC40-185-270-A
Description: Based on observation, 1 of 13 classroom were not maintained in a clean, safe and operable condition.

Evidence:
1. The Toddler 4 classroom (children ages 15-24 months) had several areas of chipped and peeling pain on the green wall by the diaper changing area.
2. In the Preschool II children's bathroom area (children ages 3-4 years old), the foot-operated trashcan was inoperable.
3. In the lower level hallway outside of the Infant 4 classroom, there is an area of broken drywall.

Plan of Correction: We will swap out the broken trashcan today. The chipped paint and the broken wall will be fixed by the 11/29/2019.

Standard #: 22VAC40-185-440-B
Description: Based on observation, 1 of 13 classrooms did not ensure that cots were identified for use by a specific child.

Evidence: In the Preschool II classroom (children ages 3-4 years old), the naptime cots were not labeled with the children's names.

Plan of Correction: Cots will be labeled by November 1, 2019.

Standard #: 22VAC40-185-500-A
Description: Based on observation, a staff member did not ensure that a child's hands were washed after toileting and any contact with blood, feces or urine.

Evidence: After changing a child's diaper, Staff I (date of hire: 9/15/2014) returned the child to play prior to washing the child's hands. After being reminded, Staff I called the child back to the sink to wash their hands.

Plan of Correction: Corrected during inspection. Additional staff training will be conducted.

Standard #: 22VAC40-185-500-B
Description: Based on observation, 1 of 9 diapering surfaces did not have a nonabsorbent surface for diapering or changing.

Evidence: The diaper changing pad in the Toddler 3 classroom (children ages 14-24 months) had a rip in it.

Plan of Correction: We will purchase a new one.

Standard #: 22VAC40-185-520-A
Description: Based on observation, 2 of 13 classrooms contained over-the-counter skin products that were not used in accordance with the manufacturer's recommendations.

Evidence: In the 2's classroom (children ages 2-3 years old), Child #3's (2 years old) Aquaphor expired 3/2019. Child #3's Burts Bees baby diaper ointment expired 9/2019.

Plan of Correction: Families have been emailed today, requesting that they update topical ointments and authorization forms. Expired ointments will be discarded today.

Standard #: 22VAC40-185-550-M
Description: Based on record review, 3 of 6 written records of children's minor injuries did not include all required information.

Evidence: Three injury reports did not include documentation of the time the parent was notified.

Plan of Correction: Staff will read and acknowledge the policy and procedures on health and incident reporting.

Standard #: 22VAC40-185-560-G
Description: Based on observation, one child's food container was not clearly dated.

Evidence: In the Preschool II classroom (children ages 3-4 years old), Child #11's (3 years old) lunch box was not dated.

Plan of Correction: We will send out parent communication reminding families to label food items with first and last names, and the current date. We will also remind teachers to check and report any unlabeled items immediately.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review, 1 of 8 staff records did not include an out-of-state child abuse and neglect search request by the end of the 30th day of employment.

Evidence: Staff E's (date of hire: 6/10/2019) record indicated that the employee has lived in Maryland within the last 5 years, and did not include documentation of a Maryland central registry request.

Plan of Correction: We will have the employee complete the form again and it will be mailed off.

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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