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Ms. Rebecca Washington
1806 Irene Court
Woodbridge, VA 22191
(703) 492-1203

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: March 2, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted beginning at 12:30 p.m. and ending at 2:00 p.m. with the provider. There were three children in care ranging in age from three months to two years old for a total of ten points. One infant was observed sleeping. Another infant was observed waking, being diapered and fed. A two year old was observed having lunch which consisted of chicken nuggets, french fries, fruit cocktail, wheat bread and milk. After lunch, a child was observed being administered a nebulizer treatment before nap. Two children's records and one staff record was reviewed. The weekly menu was reviewed. Infant reports were reviewed. One medication authorization was reviewed. If you have questions regarding this inspection, contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation, the weekly menu was not complete for 3/2/2015-3/6/2015.

Plan of Correction: I was following the advice of the food program. The menu will be completed as soon as possible.

Standard #: 22VAC40-111-960-E
Description: Based on observation, infant bottles were not labeled and dated as required. Evidence: With two infants in care, bottles were not dated and labeled.

Plan of Correction: Bottles will be labeled and dated. Labels were created during the inspection.

Standard #: 22VAC40-111-120-B
Description: Based on review of records, not all provider records were complete. Evidence: Staff A, start date 11/12/2014, did not have documentation of two references.

Plan of Correction: References will be documented and put in the file.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering pad was absorbent. Evidence: The diapering pad had three tears in the nonabsorbent cover exposing the absorbent material underneath.

Plan of Correction: I will purchase a new diapering pad.

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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