4000 19th Street
Arlington, VA 22204
Current Inspector: Stephanie Salvatori (571) 389-0980
Inspection Date: Oct. 13, 2015
Complaint Related: No
- Areas Reviewed:
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
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 staff that the background checks that they had paid for were kept by Arlington County inspectors, and that the inspectors only provided them with the originals. Discussed with the provider that she needed to ensure that she kept originals of all background checks on site at all times.
An unannounced renewal inspection was conducted today at 11:35am. There were 8 children (29 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?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, eating lunch and preparing for nap. 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 (firstname.lastname@example.org) (703)479-4680
Standard #: 22VAC40-111-110-B Description: Based on review, the provider failed to ensure that immunization records included immunization records that are 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 CH5 did not have documentation of a signed immunization record. Plan of Correction: Parents provided documentation of signed immunization record. - corrected
Standard #: 22VAC40-111-50-A Description: Based on observation, the provider failed to ensure that written documentation of attendance was maintained each day. Evidence: Observed that the provider had failed to keep a written record of attendance for the current day. Plan of Correction: Make an attendance sheet for every day. - corrected
Standard #: 22VAC40-111-80-A Description: Based on review, the provider failed to ensure that within seven business days of the child's first day of attendance, the parents provide the provider with documentation of proof of the child's identity. Evidence: Reviewed 5 children's records and found that CH2 did not have documentation of proof of identity due to the parents not yet providing the provider with any proof of identity documentation. Plan of Correction: Parents of CH2 provided proof of identity. - corrected
Standard #: 22VAC40-111-280 Description: Based on observation, the provider failed to ensure that potentially poisonous substances are kept inaccessible to children. Evidence: Observed in a closet in the playroom that was unlocked and on the lower shelves was several different kinds of cleaning solutions and disinfectants. Plan of Correction: Ensure that potentially poisonous substances are kept inaccessible to children. - corrected
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.