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Ms Katherine van der Rest
7196 Homestead Court
Warrenton, VA 20187
(540) 303-1680

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Aug. 3, 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 Emergencies
22VAC40-111 Nutrition
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:
Topical skin ointments and authorizations, medications and Medication Administration Training (MAT) certification, infant sleep space (cribs) and toddler sleep space.

Comments:
An unannounced monitoring inspection was conducted beginning at 2:15 p.m. and ending at 4:30 p.m. with the provider and two assistants. Children were napping at the beginning of the inspection. Older children woke during the inspection and prepared for outside time. After outside time, children had an afternoon snack of graham crackers and water. Children then had story time with staff. Infants and toddlers were observed during their rest time. Five children's records and three staff records were reviewed. Emergency drills were reviewed and up to date. If you have any questions regarding this inspection, please contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, medications were not kept in a locked place using a safe locking method to prevent access by children. Evidence: In the fridge in the nap area, there were ten nonprescription medications (Four ibuprofen, Motrin, CVS brand children's pain reliever, two Advil, two Tylenol) stored in the upper area of the fridge door.

Plan of Correction: All medication has been sent home

Standard #: 22VAC40-111-220-A
Description: Based on observation, review of documentation and interview with the provider it was determined that the provider failed to obtain Medication Administration Training (MAT) certification to safely perform medication administration. Evidence: 1. The family day home policy stated that the provider would administer both prescription and nonprescription medication to children in care. 2. There were ten nonprescription medications on site. 3. The provider is not MAT certified.

Plan of Correction: Provider was allowing parents to keep non prescription medication on site as a convenience to the parents in the event they needed to come administer medication during the work day. Provider has sent home all medication and no longer allows the convenience. Provider has changed paper work to state she will continue not administering any medication.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the bathroom was not equipped with paper towels. Evidence: Children were using a hand towel to dry hands and there were no paper towels in the bathroom.

Plan of Correction: Paper towels are now available and used in the restroom instead of just the kitchen area.

Standard #: 22VAC40-111-520-C
Description: Based on observation, a crib in use did not meet requirements. Evidence: A crib used for a 14 month old had two thin mattress pads (approximately 1/2 inch thick) stacked on top of each other with a fitted sheet over the pads.

Plan of Correction: Mattresses were within the required thickness and size indicated by the standards, however, she ordered a new mattress to ease the differences in inspector opinions.

Standard #: 22VAC40-111-690-D
Description: Based on observation, staff failed to ensure that the diaper surface was cleaned and sanitized after each use. Evidence: After diapering, staff was observed folding the diapering pad and placing it on top of the changing table.

Plan of Correction: staff member was spoken to about the importance of disinfecting changing pad between each use. Staff member stated she had gotten side tract from the job and had intended to come back to disinfect after another child was tended to.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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