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Gwendolyn Fluitt
7985 Audubon Avenue
Apt. #1
Alexandria, VA 22306
(703) 780-0367

Current Inspector: Derek Acosta (703) 554-4995

Inspection Date: April 12, 2018 and April 13, 2018

Complaint Related: Yes

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
63.2 Child Abuse and Neglect

Comments:
A complaint investigation was initiated on April 11, 2018 with another local agency and ended on April 13, 2018 regarding an infant being injured by an older child. Interviews were conducted, and documentation and forensic reports were reviewed. There was a preponderance of evidence to support the allegation regarding supervision and the care and protection of children. The complaint related violations and one non-related violation are identified in the Violation Notice.

Violations:
Standard #: 22VAC40-111-60-A
Complaint related: No
Description: Based on review of five children's records, the provider did not maintain a record for each enrolled child. Evidence: The provider stated that child #2 did not have a record on file at the family day home.

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

Standard #: 22VAC40-111-560-A
Complaint related: Yes
Description: Based on information obtained during the investigation, the caregiver failed to provide direct care and supervision to children at all times which resulted in a child being injured while in care. Interviews, observations, and a review of documentation maintained by the caregiver (incident report) and color photographs of injuries to a child, the caregiver did not provide at all times direct care and supervision of each child, did not monitor a sleeping infant as required, and did not provide awareness of and responsibility for each child in care during nap time. Evidence: 1) The caregiver stated: a. At approximately 12:45 PM on April 10, 2018, she removed child #1's pants for napping and no signs of injuries were observed. b. Child #1 (age 11 months) was placed in a crib in a room and children #2 (age 4 years), #3 (age 4 years), and #4 (age 2 years) were placed on mats in the room. c. She left the room where the children put to nap to finish feeding child #5 (age 16 months), who was in the living room. d. She could hear child #1 crying for approximately ten minutes before she returned to the room where child #1 was e. She observed child #1 standing up in the crib and the other children were still awake, she instructed the children to go to sleep and then returned to the living room where child #5 was located. f. She heard a distinct change in the sound of Child #1?s cry, however she felt child #1 was safe in the crib and did not check on the child. g. At approximately 1:10 PM, she briefly returned to the room where the children were napping to place child #5 on a mat and "they (the children) looked like they were asleep". h. She then proceeded to the living room to complete some reading. i. At approximately 3:25 PM, she heard child #1 awake in the napping room and she went to the room, removed child #1 from the crib and observed injuries to the child. Prior to 3:25 PM, children #2, #3, #4, #5 went to the living room to play as they awoke from nap. 2) Between 1:10 PM and 3:25 PM on April 10, 2018, the caregiver did not monitor the sleeping infant. Of the three monitoring methods allowed by the standards, the provider failed to use any of the three. Child #1 was placed in a separate room from the provider where the caregiver could not see the child, the provider did not observe child #1 at least once every 15 minutes or use a baby monitor. Observation of the floor plan of the caregiver?s home shows the living room at one end of the home and one hallway with four rooms located off the one hallway. The napping room has four ceiling- to- floor walls and one door off the hallway for entrance. The caregiver stated that she was in the living room of the home when the incident occurred. The door to the napping room is located in the hallway at the opposite end of the hall from the living room.

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

Standard #: 22VAC40-111-580-A
Complaint related: Yes
Description: Based on interview, the caregiver did not provide a child needed help, comfort, and support during nap time. Evidence: 1. On April 10, 2018 from approximately 12:45 PM until 1:10 PM, child #1 was not comforted while crying in the napping room. 2. The caregiver stated she observed the napping room two times between 12:45 PM and 1:10 PM, however she did not provide comfort or support the crying child #1. 3. The caregiver stated at approximately 1:05 PM child #1 continued to cry, and she heard a distinct change in the sound of child #1?s cry and she did not check on the child and felt that Child #1 was ?safe in the crib?.

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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