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Eva McGregor
1233 Tennessee Drive
Leesburg, VA 20176
(571) 258-8613

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: Feb. 2, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed with provider: modification of the license procedures

Comments:
An unannounced renewal study was conducted today. There are 11 children (33 points) with 2 adults. An additional assistant needs to be present. 1 adult and 3 children's files were reviewed. See violation notice for missing information. I child has no file available for review; however, a sibling is present for emergency numbers. A file for each child needs to be on site. Children were observed during diapering, feeding and enjoying free play. There are currently no children receiving medication at the home. Emergency evacuation drills, fridge temperature, labeled bottles and the menu are all in compliance. Due to case load adjustments, your next inspection will be with a different inspector. All inspectors have ID badges. LI was present today from 9:45 AM - 11:10 AM.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based upon a review of files, one child's file is incomplete. Evidence: Child 1 does not have a completed physical on file. Date of enrollment (DOE): 8/24/15.

Plan of Correction: I will ask the parent again for the physical.

Standard #: 22VAC40-111-60-A
Description: Based upon provider's statement, one child does not have a file available for review. (Child 2)

Plan of Correction: I will ask the parent to bring the paperwork.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, one child's file is incomplete. Evidence: Child 3's file is missing documentation of a second emergency contact.

Plan of Correction: I will call the parent and ask her to provider the information.

Standard #: 22VAC40-111-90-A
Description: Based upon a review of files, children's files are incomplete. Evidence: Child 2 does not have an immunization record on file prior to the first day of attendance.

Plan of Correction: I will ask the parent to provider the shot record.

Standard #: 22VAC40-111-90-C
Description: Based upon a review of files, one child's file does not contain an acceptable immunization record. Evidence: Child 1's immunization record on file is not signed, stamped or electronically signed by the physician's office.

Plan of Correction: I will remind the parent again to bring in the signed record.

Standard #: 22VAC40-111-540-A
Description: Based upon direct observation a child was in a seat without the safety strap buckled.

Plan of Correction: The strap was buckled during the inspection.

Standard #: 22VAC40-111-570-A
Description: Based upon a review of files and direct observation, the allowable 16 points per adult is exceeded. Evidence: There are 11 children present, aged: 4 months (2), 6 months (1), 11months (1), 17 months (1), 23 months (2), 2 years (2), 3 years (2), totaling 33 points with 2 adults.

Plan of Correction: I will hire an assistant.

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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