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Elisa Zewide
7900 Gunston Woods Place
Lorton, VA 22079
(703) 678-5044

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: April 29, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced Monitoring inspection was conducted today. There are 3 children (6 points) with 2 adults. 1 child and 1 adult's files were reviewed. See violation notice for missing information. Children were observed during diapering, feeding, playing with toys. The Conditional License period is the time to show compliance with standards. Please review all records for complete information. If you have any questions regarding this inspection , please contact me at 703-479-4678. LIs were present today form 11:35AM - 1:00 PM

Violations:
Standard #: 22VAC40-111-770
Description: The radio available is not a weather band radio.

Plan of Correction: I will order one from the link Licensing provided.

Standard #: 22VAC40-111-830-C
Description: Documentation of emergency escape drills has not been maintained. Evidence: Emergency escape drills have been practiced, but they were not documented on a log form.

Plan of Correction: I will write the drills down as they are done.

Standard #: 22VAC40-111-120-B
Description: Based upon a review of files. one adult file is incomplete. Evidence: Adult A's file is missing documentation of 2 references, Assistant /Sub record.

Plan of Correction: I will do references and have her complete the record form.

Standard #: 22VAC40-111-50-A
Description: Based upon provider's statements, daily attendance has not been maintained.

Plan of Correction: I will keep the daily attendance on the form provided. (Model DSS form)

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, one child's file is incomplete. Evidence: Child 1's file is missing: emergency contact address information, first date of attendance.

Plan of Correction: I will ask the parent to update the form.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of one child's file, there is no written acknowledgment of all required policies and procedures. Evidence: Child 1's file was missing documentation of required policies. Missing information includes but may not be limited to: Custodial rights statement, DSS web site address, contagious disease notification, policy for administration of medication, emergency preparedness relocation address.

Plan of Correction: I will use the model forms from DSS to have the information in the file.

Standard #: 22VAC40-111-200-C
Description: Based upon a review of files, one staff file in missing documentation of orientation. (Model form provided)

Plan of Correction: I did the orientation; however, it was not documented. I will have the form completed.

Standard #: 22VAC40-111-680-A
Description: Based upon direct observation, a caregiver did not wash her hands after diapering a child.

Plan of Correction: I will remind the staff to wash her hands after each diapering.

Standard #: 22VAC40-111-680-B
Description: Based upon direct observation, children's hands were not washed after diapering.

Plan of Correction: Children's hands will be washed after each diaper change.

Standard #: 22VAC40-191-40-D-1-a
Description: Based upon a review of files, staff files are incomplete. Evidence: Staff A is missing documentation of a completed Criminal Record Check (CRC) and a completed Central Registry Search (CPS) past 30 days of employment. (Date of Hire 3/20/16)

Plan of Correction: The CRC has been mailed off. IT was returned for a different form. It has been resubmitted. The CPS form will be competed and mailed tomorrow.

Standard #: 22VAC40-191-60-C-1
Description: Based upon a review of files, Staff A was allowed to work past 30 days of employment without a completed CRC search on file.

Plan of Correction: Staff A will not be allowed to work until the search results are on file.

Standard #: 22VAC40-191-60-C-2
Description: Based upon a review of files, Staff A was allowed to work past 30 days of employment without a completed CPS search on file.

Plan of Correction: Staff will not be allowed to work until the search results are on file.

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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