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Miriam Ayala
104 S. Iris Street
Alexandria, VA 22304
(703) 370-0252

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Aug. 10, 2017

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
22VAC40-80 THE LICENSE.
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.

Comments:
An unannounced renewal inspection was conducted today from 10:25am-1:15pm. At the beginning of this inspection there were 3 children(7 points) directly supervised by substitute. The home, 2 staff records, 3 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, painting and eating lunch. Caregivers were observed to be warm and offering positive child guidance to children. There was an abundant supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, one child's file was incomplete. Evidence: Child 1's record did not contain a health insurance policy number.

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

Standard #: 22VAC40-111-140-B-1
Description: Based on observation, there was not documentation to support that the substitute provider was qualified to perform in their role. Evidence: The record for Staff 2 did not show any documentation of education or experience that would qualified her for the role of substitute provider.

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

Standard #: 22VAC40-111-150-D-1
Description: Based on record review, not all required staff has a current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. Staff 2 was alone providing care during the inspection from 10:25am until 11:40am without a current CPR or First Aid training. 2. Staff 2 stated she was scheduled to take the training on 8/11/2017.

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

Standard #: 22VAC40-111-180-A
Description: Based on record review, one staff did not have a negative Tuberculosis screening completed every two years or more frequently as recommended by a physician or the local health department. Evidence: Staff 2's most recent Tuberculosis screening was completed 6/17/2014.

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

Standard #: 22VAC40-111-210-A
Description: Based on record review, not all staff have received the required 16 hours of annual training. Evidence: 1. Staff 1 has documentation of having received 2 hours of training in the past 12 months. 2. Staff 2 does not have a record of having received training in the past year.

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

Standard #: 22VAC40-111-240-A
Description: Base on observation, areas of the family day home were not maintained in a clean, safe and operable condition. Evidence: 1. A soft padded infant seat, designed for indoor use, was observed outdoors and has areas of mold and mildew on the cushion. 2. A monitored infant swing , designed for indoor use, was observed outside with a missing safety belt. 3. A 3 foot circular glass table top was observed leaning against the chain linked fence in the outdoor child play area. 4. A bike was observed outdoors with two flat tires and the chrome handlebar is covered in rust. 5. The stairs leading to the upstairs child care area has large items stored on three of the risers and a bath mat that is not secured and loosely draped over the first riser creating a tripping hazard. 6. There was a small plastic bus observed outdoors with broken plastic resulting in sharp exposed edges. 7. A section of lattice that encloses a storage area under the deck did not close properly. The area stored various garden tools and fertilizer and a hand saw.

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

Standard #: 22VAC40-111-320-I
Description: Based on observation and provider statement, there are no operable smoke detectors located in the family day home. Evidence: 1. The smoke detector located in the kitchen does not have functional batteries. 2. The smoke detector on the upstairs level was observed removed from it's socket and the batteries were not installed in the unit.

Plan of Correction: Provider purchased smoke detectors and a carbon monoxide detector and batteries during the inspection.

Standard #: 22VAC40-111-690-E
Description: Based on observation, the diapers were not disposed in an appropriate receptacle. Evidence: The foot-operated diaper pail was not lined with plastic to ensure it is leak proof.

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

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record review, not all staff had completed a sworn statement or affirmation, search of central registry and criminal history record check before three years since the dates of the last sworn statement or affirmation, most recent central registry finding and most recent criminal history record check report. Evidence: 1. Staff 2's last sworn statement or affirmation was completed 7/16/2014. 2. Staff 2's last central registry check was completed on 7/16/2014. 3. Staff 2's last criminal history check was completed on 8/1/2014.

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

Standard #: 22VAC40-80-120-E-1
Description: Based on observation, the most current license is not posted. Evidence: The posted license expired on 8/31/2106.

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

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the findings of the most recent licensing inspection were not posted. Evidence: The most recent inspection notice was dated 8/2/2016.

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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