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Karin Zacharias
1210 Summerfield Drive
Herndon, VA 20170
(703) 869-4931

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: April 8, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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 Liability Insurance Disclosure

Comments:
An unannounced monitoring inspection was conducted today. The provider and one assistant caregiver were caring for 11 children, totaling 24 points. The children were observed making handprint tree pictures, practicing their alphabet recognition skills, and preparing for lunch. The children were to be served macaroni cheese with beef, green beans, pears, and milk for lunch today. This inspection was completed between approximately 10:00 am and 11:30 am. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on a review of children's medications, it was determined that one nonprescription medication was on site without the required authorization. Evidence: One child's nonprescription medication was on site without a medication authorization form signed by the parent.

Plan of Correction: If the medication is still needed I will ask the parent to sign the authorization form.

Standard #: 22VAC40-111-710
Description: Based on a review of children's medications, it was determined that one prescription medication was not labeled as required. Evidence: One child's prescription medication was on site without a prescription label indicating to whom the medication has been prescribed.

Plan of Correction: I will ask the parent to bring the medication box with the prescription label attached.

Standard #: 22VAC40-111-720-A
Description: Based on a review of children's medications, it was determined that one nonprescription medication was not labeled as required. Evidence: One child's nonprescription medication was not labeled with the child's name.

Plan of Correction: If the medication is still needed it will be labeled.

Standard #: 22VAC40-111-730-D
Description: Based on observations, it was determined that two medication were not stored as required. Evidence: Two children's medications were not stored in a locked place. One prescription medication was stored on an upper level shelf inside an unlocked storage closet. One nonprescription medication was on the kitchen counter when the Inspector arrived.

Plan of Correction: The prescription medication was moved to a locking medication bag during the inspection. The nonprescription medication was moved to a locking cabinet during the inspection.

Standard #: 22VAC40-111-980-A
Description: Based on a review of administrative documents, it was determined that the provider has not asked parents to sign all required permission forms. Evidence: It was reported to the Inspector that the children routinely take walks through the neighborhood with the provider and assistant caregiver. The provider has not obtained written permission from each parent allowing each child to be taken off the premises.

Plan of Correction: I will ask each parent to sign the form before we take another walk.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that two records were not complete. Evidence: 1. Child record #3 does not include the information for a second emergency contact person. 2. Child record #4 does not include the identifying information for the mother's place of employment and work phone number.

Plan of Correction: Both parents will be asked for the missing information at pick up today.

Standard #: 22VAC40-111-240-A
Description: Based on observations, it was determined that one piece of equipment has not been maintained in a fully clean and operable condition. Evidence: The diaper changing pad has ripped in a couple of places.

Plan of Correction: I will replace the diaper changing pad this weekend.

Standard #: 22VAC40-111-280
Description: Based on observations, it was determined that potentially poisonous substances have not been stored in a manner to keep them inaccessible to the children. Evidence: Several containers of cleaning substances were stored in the floor level cabinet beneath the sink in the kitchen, which is open to the child care area. The child safety lock on the cabinet door has broken and no longer keeps the door locked.

Plan of Correction: I will replace the cabinet lock this weekend.

Standard #: 22VAC40-111-320-B
Description: Based on observations, it was determined that two electrical outlets were not covered. Evidence: Two electrical outlets on the wall next to the sink in the children's bathroom were not covered.

Plan of Correction: I will cover the outlets today.

Standard #: 22VAC40-111-460-I
Description: Based on observations, it was determined that the dog's food and water dishes were not stored in a manner to keep them inaccessible to the children. Evidence: The family dog's water bowl and food bowl were observed on the floor in the kitchen, which is open to the child care area. The children had open access to both of these items.

Plan of Correction: Both bowls were immediately moved during the inspection.

Standard #: 22VAC40-111-540-A
Description: Based on observations, it was determined that one child was securely seated when using an activity chair. Evidence: One child, age 14 months, was not buckled into his toddler activity chair when sitting at the table.

Plan of Correction: The safety buckle was fastened during the inspection.

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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