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Laura Marshall-Norris
12541 Bunche Road
Fairfax, VA 22030
(703) 929-2625

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: May 15, 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
63.2 General Provisions.
63.2 Child Abuse and Neglect
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.

Technical Assistance:
Emphasized the importance of health examinations for children. A reminder that health examinations are required within 30 days of the start of care. Clarified designated sleeping areas for infants.

Comments:
An unannounced monitoring inspection was conducted this date. Provider and 1 assistant present during inspection with 10 children (23 points). This inspection began at 10:30am and ended at 1pm. At the start of the inspection, children were observed playing an educational game on the computer, drawing and coloring independently and group play which consisted of playing with the train table and doll house. Observation of bottle feeding and hand washing observed. Recordation has improved from the last licensing inspection in December 2016. Annual staff training well documented. Previous violations reviewed and one violation remains repeated/uncorrected pertaining to health examinations. Observation of lunch preparation which consisted of chicken burritos, salad, pears and milk. Emergency preparedness plan reviewed for required updates. Current CPR/First Aid was verified. All background checks are current. No medications on site at this time. A total of 6 children's records and 2 staff records to include training logs were reviewed today. Emergency evacuation and shelter in place drills are current. Thank you for cooperation today. Please email with questions at: lisa.hudson@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, some children's records were incomplete. Evidence: Child #1, #2, and #3's records do not have results of a health examination. This is a repeated/uncorrected violation from the licensing inspection in December 2016. Child #5's record does not have results of a health examination.

Plan of Correction: Provider will give all parents page 4 of the health examination to parents today to be completed by their pediatricians.

Standard #: 22VAC40-111-70-A
Description: Based on review of children's records, information disclosed to parents is not current. Evidence: Provider does not currently administer any medications and does not have current MAT training, however the medication for administration of medications indicates that provider administers both over the counter and prescribed medications. No medications are administered at this time.

Plan of Correction: Provider will update the policy for medications indicating that provider does not administer medications at this time and provide to all parents.

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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