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Melissa Comegys
5409 Tree Line Drive
Centreville, VA 20120
(703) 772-9267

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: Nov. 6, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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.

Comments:
An unannounced monitoring inspection was conducted today. The provider and one assistant caregiver were caring for 7 enrolled children and 3 resident children, totaling 22 points. Children's records, background checks, caregiver training, health records, the physical plant, children's nutrition, and children's medications were inspected today. The children were observed playing with interactive toys, engaging in creative play, listening to children's songs, playing with playdoh, and eating morning snack. The children were served pretzels, bananas, and water for snack today. This inspection was completed between approximately 10:45am and 11:45am. The Inspector returned later in the day in order to obtain the provider's signature on the inspection documents. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-700-C
Description: Based on a review of children's medications, it was determined that one child's medications are still on site, past the expiration date on the medication authorization form. Evidence: One child's medication authorization form states an authorization expiration date of 7/31/18. The provider did not send these medications home nor dispose of them when the authorization expired.

Plan of Correction: The medications are still needed on site. I will ask the parent to complete a new authorization form.

Standard #: 22VAC40-111-240-A
Description: Based on observations, it was determined that one area of the home has not been maintained in a fully safe and operable condition. Evidence: In the nap room, one crib has been placed next to a wall outlet. The panel covering the outlet has shifted, leaving a small amount of open separation between the edge of the outlet and the wall. The open space is wide enough for a child to put his/her finger into. This outlet is on the lower half of the wall, at the children's level when occupying the crib.

Plan of Correction: The crib will immediately be moved away from the outlet until the outlet is repaired. I will also block that outlet so that children cannot access 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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