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Faten Bush
5958 Hall Street
Springfield, VA 22152
(703) 569-2659

Current Inspector: Nancy Radcliffe

Inspection Date: March 30, 2016

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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
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.

Comments:
An unannounced monitoring inspection was conducted today. Observed 12 children (35 points) directly supervised by 2 caregivers. Ratio was not in compliance as the point system was exceeded by 3 points. A sample of 2 children's records, and 2 caregiver records were reviewed. The physical plant, emergency supplies and procedures were also reviewed. No medications were reported to be on site. The children were engaged in various activities, to include: free play, infant care, hand washing, and rest time. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or anailim.dally@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-B
Description: Based upon documentation reviewed, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The emergency plan was last reviewed/updated on 07/14/2014.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-960-E
Description: Based upon observations made, bottles were not dated. Evidence: Two refrigerated bottles were not dated.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-170-A
Description: Based upon interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with the children a current Report of Tuberculosis (TB) Screening form. Evidence: Caregiver #1 did not have a TB screening on file. The provider confirmed that Caregiver #1 did not have a current TB test. Caregiver #1 was present during today's inspection and has been in contact with the children since her hire date of 03/29/2016.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-570-A
Description: Based upon observations made, interview, and documentation reviewed, the provider did not ensure that each caregiver did not exceed 16 points. Evidence: 1) There were 12 children present under the supervision of 2 caregivers with a total combined points of 35 points, exceeding the ratio requirement by 3 points. 2) The attendance sheet confirmed that they were 12 children present: 4 infants, 3 toddlers, and 5 preschool children. 3) The provider confirmed that she was aware that she exceeded the point system by 3 points.

Plan of Correction: Not available online. Contact Inspector for more information.

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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