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Carla Seay
8045 Winding Way Court
Springfield, VA 22153
(703) 455-1205

Current Inspector: Kara Wright (703) 537-6241

Inspection Date: Aug. 11, 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:
**Reviewed the terms of the license. Each provider is licensed to provide care at their home address. They are not permitted to care for children at another location, the the exception of outings/fieldtrips. **Written parental permission is needed for transporting each child on outings, and documentation is to include the name of the person permitted to drive the child.

Comments:
This was an unannounced monitoring inspection, and a focused inspection on the terms of the license, conducted by Licensing Inspectors Keesha Minor and Pamela Sneed. The visit was initiated at 2:30pm. There were 15 children directly supervised by 2 providers and 1 assistant. Provider 1 had 10 children (15 points) in care with her assistant. Provider 2 (who is licensed at another location) had 5 children (6 points) that she was caring for in Provider 1's home (8045 Winding Way Court, Springfield, VA 22153). It was determined that the children from the two FDH's have been receiving daily care at Provider 1's address. Care has included activities, outings, meals/snacks. The home, 1 staff record, 5 children?s records (a second provider's records), 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, watching a movie and finishing lunch. 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 #: 22VAC40-111-120-A
Description: Based on review, the provider failed to ensure that staff records are maintained with the required documentation. Evidence: 1) Reviewed 1 provider's record and found that Provider 3 did not have documentation of a Central Registry (CPS) background check ever being completed. 2) Reviewed 1 staff record and found that Provider 3 did not have documentation of a Criminal History report being verified/reveiwed by the State Police. 3) Reviewed 1 staff record and found that Provider 3 did not have documentation of completing orientation training.

Plan of Correction: Will update all staff forms by September 1, 2015.

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: During today's inspection, there were 15 children present, exceeding the licensed capacity by 3 children. Provider 1 stated that 10 of the children were originally enrolled at this location, and the other 5 children were originally enrolled at Provider 2's nearby, licensed address. Provider 2 stated that she leaves her home with the children after they are drop off in the mornings and that they spend the entire day (including activities, meals/snacks and naps) at Provider 1's home, and then the children are often dropped off at (in the mornings) and picked up (at the end of the day) from Provider 1's address. Provider 2 stated that since the children spend their days at Provider 1's address, that they have requested that parents fill out a second enrollment packet for Provider 1's Family Day Home.

Plan of Correction: Providers seperated and only get together if they have less than 12 children combined.

Standard #: 22VAC40-111-50-A
Description: Based on review, the provider failed to maintain a written record of children in attendance each day. Evidence: Observed that there was no documentation of a written record of attendance on Monday, nor the current day of the inspection (Tuesday).

Plan of Correction: Fell behind for a day or 2. Will not let this happen again.

Standard #: 22VAC40-111-170-A
Description: Based on review, the provider failed to obtain documentation of a Report of Tuberculosis Screening from each caregiver at the time of hire. Evidence: Reviewed 1 staff file and found that Provider 3 did not have documentation of TB screening.

Plan of Correction: Will update all staff forms by September 1, 2015.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that protective covers are installed on all unused electrical outlets and surge protectors accessible to children. Evidence: Observed 5 uncovered electrical outlets on a surge protector in the rear playroom.

Plan of Correction: Will put outlet covers on surge protector that is used as charging station for older kids.

Standard #: 22VAC40-111-680-A
Description: Based on observation, the provider failed to ensure that all caregivers was their hands with liquid soap and running water after diapering a child. Evidence: Observed on two occasions, Provider 3 changing a child's diaper and not washing her hands after.

Plan of Correction: Used hand sanitizer but will now wash between each diaper changing.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider failed to ensure that all caregivers was children's hands with liquid soap and warm running water after diapering. Evidence: Observed on two occasions, Provider 3 changing 2 separate children's diapers and not washing the children's hands after the event.

Plan of Correction: Used hand sanitizer but will now wash between each diaper changing.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the provider failed to ensure that the findings of the most recent inspection of the facility is posted. Evidence: Observed that the most recent inspection notice posted was dated 6/20/13.

Plan of Correction: New notice located and posted in your presence.

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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