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Carla Seay
8045 Winding Way Court
Springfield, VA 22153
(703) 455-1205

Current Inspector: Kara Wright (703) 537-6241

Inspection Date: April 20, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-80 THE LICENSE.
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.

Comments:
An unannounced monitoring/renewal inspection was conducted today from 8:25am-10:30am. There were 12 children, including the provider's 2 school-age children (25 points) directly supervised by 2 staff. The home, 1 staff record, 3 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed arriving to care, leaving for elementary school, playing freely and eating snack. 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. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (703)479-4680

Violations:
Standard #: 22VAC40-111-800-A
Description: Based on review, the provider failed to ensure that the emergency preparedness plan is updated and reviewed on an annual basis. Evidence: Reviewed the emergency preparedness plan and found that it was last updated on 3/19/14.

Plan of Correction: I will updated that.

Standard #: 22VAC40-111-830-A
Description: Based on review, the provider failed to ensure the emergency evacuation procedures are practiced monthly. Evidence: Reviewed the emergency evacuation drill log and found that there was no drill practiced in February.

Plan of Correction: I will continue to do them monthly.

Standard #: 22VAC40-111-100-A
Description: Based on review, the provider failed to ensure that each child had documentation of a physical examination prior to or within 30 days of the first day of care. Evidence: Reviewed 3 children's records and found that CH2 did not have documentation of the first day of care.

Plan of Correction: I will get it by May 1st.

Standard #: 22VAC40-111-60-B
Description: Based on review, the provider failed to ensure that children's records were maintained with the required information. Evidence: Reviewed 3 children's records and found that... 1) CH1 did not have documentation of a complete address for two of their emergency contacts. 2) CH1 did not have documentation of their first day of attendance. 3) CH2 did not have documentation of physician's name or address or phone number. 4) CH2 did not have documentation of medical insurance policy or policy number.

Plan of Correction: I will talk to the parents this evening and get it ASAP.

Standard #: 22VAC40-111-180-A
Description: Based on review, the provider failed to ensure that all caregivers have a current report of tuberculosis form every two years from the date of the first screening. Evidence: the last dated tuberculosis screening was on 7/21/11, and that the most recent TB screening is not dated, so the inspector is unable to determine if it is up-to-date.

Plan of Correction: I'll call them today to see if I can get a dated copy.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that the inside and outside shall be maintained in a clean, safe and operable condition. Evidence: 1) Observed that there was Lysol, shaving cream and cleaners accessible to children on a shelf in the utility room. 2) Observed a large knife accessible to children in an unlocked drawer behind the children's work table.

Plan of Correction: We will close the door and remove the knife.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that all electrical outlets were covered with outlet covers. Evidence: Observed that there were 4 uncovered outlets on a power-strip accessible to children on the counter.

Plan of Correction: Will cover today.

Standard #: 22VAC40-111-480-E
Description: Based on observation, the provider failed to ensure that the equipment and materials used by children shall be free of hazards. Evidence: 1) Observed 11 nails and screws (one without a head and a sharp point) accessible to children on the steps up to the deck where children play on riding toys/equipment. 2) Observed a portion of the wooden fencing on the deck that was no longer attached, due to a loosened rusty screw that was accessible to children, and could by pushed away allowing access to the lower level (a potential falling hazard). 3) Observed a gap at the top of the slide of the turquoise/green slide that created a potential suffocation hazard.

Plan of Correction: We'll get that done by May 1st.

Standard #: 22VAC40-111-500-D
Description: Based on observation, the provider failed to ensure that the outdoor play equipment met all requirements. Evidence: Observed that the S-hooks on the swings were not tightly closed.

Plan of Correction: We'll get that done by April 24th.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review, the provider failed to ensure that all caregivers background checks (sworn statement, central registry and criminal record checks) are updated before three years since the dates of the last checks. Evidence: Reviewed Staff 1's background checks and found that the sworn statement was last dated on 6/3/13, the CPS check was lasted dated 5/29/13 and the last Criminal History check was last dated 5/3/13.

Plan of Correction: Will submit new checks with the renewal application.

Standard #: 22VAC40-80-120-E-2
Description: Based on review, the provider failed to post the most recent violation notice. Evidence: Reviewed the most recent posted violation notice and it was dated 8/11/15.

Plan of Correction: Will post current inspection report.

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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