VIRGINIA DEPARTMENT OF SOCIAL SERVICES

NVFS Arlington Head Start Child Development Center
2920 S. Glebe Road
Arlington, VA 22206
(571) 748-2701

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: Dec. 16, 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 63.2 Facilities & Programs.

Technical Assistance:

Discussed postings and staff orientation. Due to the background check related violations cited in today?s inspection, the provider is required to follow-up with the appropriate department regarding the status of any missing and/or incomplete background checks. Documentation of the completed follow-up must be sent to the Licensing Inspector within 10 business days, and a copy of all missing/incomplete background check results must be sent to the Licensing Inspector upon arrival.

Comments:

An unannounced monitoring inspection was conducted today from 10:30am-2:15pm. There were 118 children (3-5yrs.) supervised by 21 direct care staff. The physical plant, 5 staff records, 10 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed drawing, playing with playdough and in sensory tables, working with rhyming words and counting bears and money, and playing with magnatiles, Legos, and blocks. Toileting 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 #:	22VAC40-185-130-A
Description:	Based on observation, 1 of 10 children's records did not contain documentation of the child's immunization records required by the State Board of Health. Evidence: Child #9's (age: 3 years old; start date: 9/23/2019) record did not contain documentation of an immunization record.
Plan of Correction:	We will contact the physician to fax us the immunization record.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, the center did not ensure that all areas were maintained in a clean, safe, and operable condition. Evidence: In classroom 307 (children ages 4-5 years old), a metal handle on the teacher drawer was broken, exposing the sharp end of a screw, and a cabinet containing chemical cleaning solutions had a broken lock.
Plan of Correction:	Corrected during inspection.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, three classrooms did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In classroom 218 (children ages: 3-4 years old), an unlocked cabinet above the sink contained chemical cleaning solutions. 2. In classroom 307 (children ages: 4-5 years old), an unlocked wall cabinet contained chemical cleaning solutions. 3. In classroom 309 (children ages: 3-4 years old), an unlocked wall cabinet contained chemical cleaning solutions.
Plan of Correction:	We will remind teachers to keep cabinets locked at all times.
Standard #:	22VAC40-185-280-D
Description:	Based on observation, a classroom did not ensure that cleaning and sanitizing materials were not located above food, food equipment, utensils or single-service articles were stored in areas physically separate from food. Evidence: In classroom 309 (children ages: 3-4 years old), a spray bottle containing bleach and water solution was stored in a wall cabinet also containing crackers, and was sitting on the shelf above the crackers.
Plan of Correction:	We will remind teachers to store cleaning supplies separate from food items.
Standard #:	22VAC40-185-280-G
Description:	Based on observation, a classroom did not ensure that hazardous substances not kept in original containers clearly indicated their contents. Evidence: In classroom 309 (children ages 3-4 years old), a spray bottle containing bleach and water solution was not labeled with the contents.
Plan of Correction:	We will remind the teachers to label all chemical cleaning spray bottles and containers.
Standard #:	22VAC40-185-510-E
Description:	Based on a review of medications, the center did not ensure that all prescription medications were labeled with the child's name, the name of the medication, the dosage amount, and the time to be given. Evidence: 1. In classroom 221 (children ages 3-4 years old), Child #9's (age: 3 years old) Epi-pen was not labeled with the child's name, dosage amount, and time to be given. 2. In classroom 321 (children ages 3-4 years old), Child #3's (age: 3 years old) Epi-pen was not labeled with the child's name, dosage amount, and time to be given.
Plan of Correction:	We will contact parents to bring prescription labels from the doctor or pharmacy.
Standard #:	22VAC40-185-510-J
Description:	Based on observation, the center did not ensure that all medications were kept in a locked place using a safe locking method that prevents access by children. Evidence: In classroom 307 (children ages 4-5 years old), the medication box containing children's emergency medications was broken.
Plan of Correction:	The broken medication box was swapped out during the inspection.
Standard #:	22VAC40-191-60-B
Description:	Based on record review, 1 of 5 staff records did not contain documentation of a completed sworn statement or affirmation. Evidence: Staff E's (date of hire: 10/3/2016) record did not contain documentation of a completed sworn disclosure statement.
Plan of Correction:	We will contact HR to scan the results over.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review, 1 of 5 staff records did not contain documentation of a central registry finding. Evidence: Staff E's (date of hire: 10/3/2016) record did not contain documentation of a central registry finding.
Plan of Correction:	We will contact HR to scan results over.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, 1 of 5 staff records did not contain documentation of completed fingerprint results. Evidence: Staff E's (date of hire: 10/3/2016) record did not contain documentation of completed fingerprint results.
Plan of Correction:	We will contact HR to scan the results over.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review, two staff records did not contain documentation of completed out-of-state central registry requests. Evidence: 1. Staff C's (date of hire: 11/26/2018) sworn disclosure statement indicated that the employee has lived in the state of Maryland within the past 5 years. The employee's record did not contain documentation of a submitted central registry request for the state of Maryland. 2. Staff D's (date of hire: 7/12/2019) sworn disclosure statement indicated that the employee has lived in the state of Georgia within the past 5 years. The employee's record did not contain documentation of a submitted central registry request for the state of Georgia.
Plan of Correction:	We will contact HR to scan the results over.