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Janet Yamoah
8208 Cooper Street
Alexandria, VA 22309
(703) 360-3706

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Sept. 13, 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
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Consultation was given on model DSS forms, fingerprinting e-mails needed by 9/30/2019 and the phone number for OBI (804-726-7884), keeping laundry room closed as well as obtaining 4 more hours of training for the assistant to meet the 16.0 hours of annual training.

Comments:
An unannounced renewal study was conducted today from 9:30-12:15. Four children were present with two caregivers, Reviewed records for children, household members and caregivers. Children were observed in infant care, free play, coloring and transition from home. Space in the basement area of the home. Infants and one child bring food from home while one child will have food from the provider. . If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-980-A
Description: Based on provider statement, written permission to transport school-age children has not been obtained. Evidence: The provider stated she does provide transportation when needed and does not have the form signed by the parent to transport.

Plan of Correction: The DSS model form was emailed to the provider and she will have the parent complete and place in the child's file.

Standard #: 22VAC40-111-60-A
Description: Based on record review, 1 of 4 children records was incomplete. Evidence: Child #1 was missing mother's work information.

Plan of Correction: The provider will request the parent complete the information.

Standard #: 22VAC40-111-70-A
Description: Based on record review, written information for the provider's procedures and policies is incomplete. Evidence: 1. The medication policy states that the provider will administer prescription medication but her MAT certification expired 8/2018. The form will need to be updated until the MAT certification is renewed. 2. Child #2's record is missing the "Provision for Emergency Preparedness" form

Plan of Correction: The medication form will be updated and the parent will sign off on the Emergency preparedness form.

Standard #: 22VAC40-111-90-C
Description: Based on record review, one child does not have an updated immunization record. Evidence: Child #2's shot record was last updated 11/2017 and no new immunization record has been obtained every six months as the child is under 2 years of age.

Plan of Correction: Provider will request parent bring in an updated immunization record.

Standard #: 22VAC40-111-180-A
Description: Based on record review, one household member (hhm) does not have documentation of a current TB report every two years. Evidence: HHM #1's last TB documentation expired 1/15/2017.

Plan of Correction: Household member has had TB screening and will try to find form or get a new copy.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas of the home are not maintained in a clean or operable manner. Evidence: 1. Small bench in the playroom has peeling paint. 2. Broken toilet paper holder in the hall bathroom.

Plan of Correction: The bench will be repainted and the toilet paper holder will be fixed/removed

Standard #: 22VAC40-111-320-B
Description: Based on observation, outlets covers were not in place in several areas of the day care space. Evidence: Protective covers were missing by the beds (3), in the hallway (1) and in the playroom (2).

Plan of Correction: Covers were replaced during the inspection.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface was no longer non-absorbent. Evidence: The pad was ripped at the bottom

Plan of Correction: The provider replaced the pad during the inspection.

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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