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Karen Dalesandro
3705 Joppa Lane
Va. beach, VA 23456
(757) 635-5312

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: March 30, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
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
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
The inspector discussed with the provider standard 22 VAC 40-80-230, in the General Procedures and Information for Licensure, regarding Allowable Variances.

Comments:
An unannounced monitoring inspection was conducted on March 30, 2015 from 2:45 p.m. to 5:30 p.m. During the inspection, there were 8 children ages 13 months to 8 years in care with 2 caregivers. Children were observed during rest, afternoon snack, assembling puzzles, play with blocks, homework and departure with parents. Records were reviewed for 3 children, 2 caregivers and 2 pets. There was no medication administered to children.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, the facility did not ensure that medication, except for those prescriptions designated otherwise by a written physician's order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. While checking the refrigerator and freezer temperatures in the kitchen, the inspector observed a bottle of prescription medication and a blister pack of pills on a table in an unlocked place. 2. The inspector explained that although there is a safety gate blocking entrance to the kitchen and that it is an area that children do not use, the licensing standards require medication to be kept in a locked place. 3. Caregiver #1 assumed responsibility and immediately removed the medicine.

Plan of Correction: Caregiver #1 immediately removed the medication.

Standard #: 22VAC40-111-100-B
Description: Based on a review of three children's records, the facility did not ensure that each child's record had documentation of a physical examination prior to attendance or conducted within one month after enrollment. Evidence: 1. The record of child #1 did not have documentation of a physical examination report. The provider confirmed that the first day of attendance was in October, 2014. 2. The provider also checked the child's file. 3. The provider plans to review the records to see if the report was misfiled.

Plan of Correction: When the child returns to care the records will be updated.

Standard #: 22VAC40-111-60-B
Description: Based on a review of three children's records. the facility did not ensure that addresses for emergency contacts were complete. Evidence: 1. The record of child #1 was missing the street address for one emergency contact and there was no address listed for the second emergency contact.

Plan of Correction: It will be corrected tomorrow.

Standard #: 22VAC40-111-140-B-4
Description: Based on a review of two caregivers' records, the facility did not maintain documentation of current certification in first aid from the American Red Cross, American Heart Association, American Safety and Health Institute, or the National Safety Council, or current first aid certification issued within the past three years by a community college, a hospital, a rescue squad, or a fire department. Evidence: 1. At the beginning of the inspection at 2:45 p.m. children were in care with a substitute provider until the licensee arrived at about 3:00 p.m. The substitute provider's first aid and CPR certification expired in Februrary 2015.

Plan of Correction: The first aid/CPR will be renewed as soon as possible. A class had been planned for her to renew her certification, but it was cancelled.

Standard #: 22VAC40-111-280
Description: Based on observation, the facility did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates were stored away from food in areas inaccessible to children. Evidence: 1. A bottle of hand sanitizer labeled "Keep out of reach of children" and "Flammable" and a bottle of styling spray gel labeled "Keep out of reach of children" and "Avoid contact with eyes" were stored on top of a shelf with children's play equipment, 33 inches from the floor, which was within reach of children.

Plan of Correction: These items were removed immediately by caregiver #2..

Standard #: 22VAC40-111-320-E
Description: Based on observation, the facility did not ensure that radiators, oil and wood burning stoves, floor furnaces, fireplaces, portable electric heaters, and similar heating devices located in areas accessible to children had barriers or screens and were located at least three feet from combustible materials. Evidence: 1. There was an electrical space heater operating, without a barrier or screen, 2 feet from a cot on which a child was asleep and a foot away from a book case. 2. Caregiver #2 confirmed that it was a cool to touch space heater and it is very safe for the children moving around and the distance from other objects is appropriate based on the manufacturer's suggestion.

Plan of Correction: I would like to have an allowable variance for this EdenPURE cool to the touch space heater. If I am not able to get the variance I can remove it out of the school. I would like to have an allowable variance for this EdenPURE cool to the touch space heater.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record review, the facility did not ensure that repeat background checks were on file before 3 years since the last report. Evidence: 1. The record of caregiver #2 had a criminal background check that was dated 1/25/12.

Plan of Correction: It will be taken care of as soon as possible. I will send in the request this week. It should be received and processed by April 30, 2015.

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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