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Martia Clark
3303 Collard Street
Alexandria, VA 22306
(703) 373-3735

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

Inspection Date: March 27, 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
22VAC40-80 THE LICENSE.
63.2 General Provisions.
63.2 Licensure and Registration Procedures
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:
**Discussed with the provider the need to ensure that staff are not going over 16 points per caregiver at any time. **Discussed with the provider the need to post any substitutions to the menu so that parents are made aware of the.

Comments:
An unannounced renewal inspection was conducted today from 11:15am-12:40am. There were 10 children (18 points) directly supervised by 1 staff, until a second staff member arrived 10 minutes after the inspector's arrival. The home, 2 staff records, 5 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely. Diapering procedures were also observed. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (703)479-4680

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, medication shall be kept in a locked place using a safe locking method. Evidence: Observed a packet of Aspirin tables in an unlocked first aid kit above the sink.

Plan of Correction: It was removed

Standard #: 22VAC40-111-920
Description: Based on observation, the provider failed to list any substituted foods on the menu posted for the current month. Evidence: Observed that the provider's menu stated that children were to be given bagels and milk for their morning snack, but during staff and child interviews, it was determined that children were actually given crackers with apples or cheese.

Plan of Correction: The change was noted and posted

Standard #: 22VAC40-111-110-B
Description: Based on review, the provider failed to ensure that immunizations were received and signed by a licensed physician, the physician's designee or an official of a local health department. Evidence: Reviewed 5 children's records and found that CH4 did not have documentation of a signed immunization record on file.

Plan of Correction: Don't recall this violation - shot record is no file and signed.

Standard #: 22VAC40-111-60-B
Description: Based on review, the provider failed to maintain children's records with the required information. Evidence: Reviewed 5 children's records and found that CH2 was missing documentation of written authorization for emergency medical care.

Plan of Correction: Will be updated

Standard #: 22VAC40-111-70-A
Description: Based on review, the provider failed to ensure that before a child's first day of attendance, parents are provided in writing whether or not the home has liability insurance. Evidence: Reviewed 5 children's records and found that CH2 and CH4 had blank liability insurance forms in their files.

Plan of Correction: Will be updated

Standard #: 22VAC40-111-90-C
Description: Based on review, the provider failed to obtain documentation of additional immunizations for a child that is not exempt from the immunization requirements. Evidence: Reviewed 5 children's records and found that CH5 is under 2 years of age and has not had additional immunizations every 6 months. CH5's last immunization was on 8/15/14.

Plan of Correction: Parent had appointment scheduled for following day already.

Standard #: 22VAC40-111-180-A
Description: Based on review, the provider failed to obtain documentation for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Reviewed 2 staff records and found that Staff 1 did not have documentation of a subsequent TB screening that was completed every two years. Staff 1's last TB screening was dated 2/11/13.

Plan of Correction: Will be obtained

Standard #: 22VAC40-111-570-A
Description: Based on observation, the provider failed to ensure that a caregiver does not exceed 16 points by using the point system. Evidence: Observed that there were 10 children in care with a total of 18 points with the Family Day Home's assistant, while the main caregiver was away.

Plan of Correction: Will be more mindful

Standard #: 22VAC40-191-40-D-1-b
Description: Based on review, the provider failed to obtain documentation of a completed central registry check for an employee before 30 days of employment at the facility ends. Evidence: Reviewed staff records and found that Staff 2 did not have documentation of a completed central registry background check.

Plan of Correction: Called state to see what happened to the form

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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