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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 14, 2018

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 Nutrition
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:
Office of Background Investigations- 1-804-726-7884

Comments:
An unannounced monitoring inspection was conducted this date. A total of 7 children present (15pts) with one assistant. The provider arrived approximately 45 minutes later. Children were observed playing outside on mini trikes in the driveway. After outside play, they washed hands and had ice pops. Transition to indoor play was observed where the children played freely in the lower level program area. Handwashing before lunch was observed and a transition to nap time was made. A total of 6 children's records, all staff and household records were reviewed. Record keeping and organization is needed. Required background checks will need to be obtained. Repeat violations that remained uncorrected from the December inspection were found. Some of the corrective actions will need to be forwarded to the licensing office within the required timeframes. This inspection began at 10am and ended at 2:10pm. Please email me at: lisa.hudson@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of children's records, the provider did not obtain documentation of a physical exam for 2 children. Evidence: No documentation of a physical exam was obtained for Child #3. Child #4 began care, the provider did not obtain documentation of a physical exam for this child.

Plan of Correction: I will review all records and make sure that all physicals are filed in each child's record.

Standard #: 22VAC40-111-50-A
Description: Based on observation and staff interviews, a record of attendance was not maintained. Evidence: Provider stated that there is not attendance record maintained at this time.

Plan of Correction: An attendance record will be completed today and ongoing.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, some records were found incomplete. Evidence: No annual review of emergency contacts was found for Child #2, 3 and 4. No physical exam was maintained in Child #3 and #4's record. The first day of attendance was not found for Child #3. Proof of identity was not maintained in Child #5 and 6's record. No medication policy and provisions for emergency care was found in Child #6's record. No liability insurance declaration was found in Child #3, 5 and 6's record. Only 1 emergency contact was found in Child #3's record.

Plan of Correction: I will review all children's records and make sure that all are complete within the next two weeks.

Standard #: 22VAC40-111-150-D-1
Description: Based on observation of the licensing inspector and staff interviews, an assistant was left alone with children in care. This assistant does not have current CPR and First Aid certification. Evidence: When the inspector arrived at approximately 10am, an assistant who does not have current CPR and First Aid certification was left alone with 8 children in care for approximately 45 minutes.

Plan of Correction: The assistant will obtain CPR and First Aid certification as soon as possible. This assistant will not be left alone with children until certification is obtained.

Standard #: 22VAC40-111-180-A
Description: Based on household record review, two household members did not have a subsequent TB screening. Evidence: HH #1 and #2 has not a subsequent TB screening. HH #1's last TB screening is dated 6/15 and HH #2's last TB screening is dated 8/14. This is repeated and remains uncorrected since the December 2017 licensing inspection.

Plan of Correction: Both household members will have a TB screening this week. Results of the TB screening will forwarded to the licensing office.

Standard #: 22VAC40-111-240-A
Description: Based on observation of the lower level programming area, the area was determined to have a strong odor. Evidence: The lower level of the home where the children play was determined to have a strong pet odor.

Plan of Correction: We will ensure that this odor is removed.

Standard #: 22VAC40-111-560-A
Description: Based on observation, one child was not within direct care and supervision. Evidence: The licensing inspector observed one child, under the age of 5, go to the bathroom on the upper level of the home. No staff was on this level at the time to provide direct care and supervision.

Plan of Correction: We will ensure that all children are within direct sight and sound of staff at all times.

Standard #: 22VAC40-191-60-B
Description: Based on review of staff records, a sworn statement was determined not complete. Evidence: Staff #2 was hired approximately 2 months ago. The most current sworn statement was not completed which includes a question about out of state residency.

Plan of Correction: Staff will complete the new form.

Standard #: 22VAC40-191-60-C-2
Description: Based on staff record review, background checks were not obtained. Evidence: Staff #2 was hired approximately 2 months ago. No central registry search was requested within the first 30 days of employment.

Plan of Correction: This staff will have a central registry search. Search request will be forwarded to the licensing inspector within 10 days.

Standard #: 63.2-1720.1-B-2
Description: Based on review of staff records, one staff did not submit to a fingerprint background check prior to hire. Evidence: Staff #2 was hired approximately 2 months ago. Fingerprint background check was not obtained prior to start date.

Plan of Correction: This staff will obtain fingerprint search this week and will forward results to the licensing inspector.

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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