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Dilek Degirmencioglu
3040 Cedarwood Lane
Falls church, VA 22042
(703) 650-8489

Current Inspector: Nancy Radcliffe

Inspection Date: Oct. 11, 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
22VAC40-111 Nighttime Care
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 9:30am-12:00pm. There were 5 children (18 points) supervised by 1/2 direct caregivers. The childcare space, staff records, children?s records, household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed engaging freely, singing and eating snack. Diapering procedures were also observed. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, please contact Nancy Radcliffe at 703-268-3728 or nancy.radcliffe@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review of children's records, the provider does not have complete records for each child. Evidence: Child #2, does not have documentation of an annual review of emergency contact information from the parent.

Plan of Correction: I will ask the parent to review and sign.

Standard #: 22VAC40-111-120-A
Description: Based on review of caregivers records, not all files are complete. Evidence: Staff #1does not have a file available for review.

Plan of Correction: Staff #1 is a substitute, I will make a file for him.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the provider is not maintaining completed records for each child. Evidence: Child #1, 3, 4, and 5 do not have documentation of parents acknowledgment of emergency preparedness plan, liability insurance information, and medication procedures.

Plan of Correction: I will provide the parents with the information and document.

Standard #: 22VAC40-111-90-C
Description: Based on review of children's records, the provider is not obtaining additional immunizations for children who are under the age of two every six months. Evidence: Child #3, date of birth 8/1/17, does not have documentation of an additional immunizations. Last documentation is 12/15/17.

Plan of Correction: I will ask the parent for an updated immunization record.

Standard #: 22VAC40-111-430-A
Description: Based on observation, stairs leading to the upstairs were accessible to the children. Evidence: There was not protective barrier in place to block the stairs to make them inaccessible to children.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-570-A
Description: Based on observation, the provider did not determine if an additional caregiver was needed. Evidence: Upon arrival, the provider was alone with 5 children, 18 points.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-690-E
Description: Based on observation, there is not a way to dispose of soiled diapers in such a way that neither the caregiver's hand or the soiled diaper does not touch the exterior surface of the storage system during disposal. Evidence: Diapers are disposed of outside in a garbage can that cannot be opened without touching the exterior surface of the storage system.

Plan of Correction: I will replace the garbage can with a foot operated one.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation the most recent inspection of the facility is not accessible for review. Evidence: The provider does not have the most recent inspection posted.

Plan of Correction: I will find the inspection and post it.

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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