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Nattaya Cleary
4010 Elizabeth Lane
Fairfax, VA 22032
(571) 309-7061

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Dec. 5, 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.
63.2 Child abuse and neglect

Technical Assistance:
A discussion was had with the provider regarding staff and children's records.

Comments:
An unannounced monitoring inspection was conducted today between 10:00am-2:00pm. There were 7 children (19 points) in the direct care of two caregivers. The children were observed while engaging in activities, eating snack, dancing, playing with age appropriate toys, and transitioning from lunch to nap time. The physical space, records for children and caregivers, emergency plans, nutrition, first aid kit, and medications were all reviewed. Areas of non-compliance are identified in the violation notice. If you have any questions regarding the inspection, please feel free to contact me at derek.acosta@dss.virginia.gov Thank you.

Violations:
Standard #: 22VAC40-111-700-B
Description: Based on record review, written authorization for medication was not obtained by the provider. Evidence: 1. Child A had an emergency prescription medication on-site and long-term medication form completed by the physician was not obtained.

Plan of Correction: I will ask the parent today.

Standard #: 22VAC40-111-730-D
Description: Based on observation, medications were not kept in a locked place preventing access by children. Evidence: 1. An emergency medication was found inside of a bookbag that was located on a shelf, which was unlocked and accessible by children.

Plan of Correction: Corrected during the time of inspection.

Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the provider did not ensure that there were two triangular bandages in each first aid kit as required. Evidence: There were no triangular bandages on-site during the inspection.

Plan of Correction: I will get them this weekend.

Standard #: 22VAC40-111-830-B
Description: Based on records reviewed, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1. There were no written records of shelter-in-place drills on-site.

Plan of Correction: I will do it this month and will do it twice a year.

Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles were not labeled with the child's full name and date. Evidence: 1. Child A had 3 bottles on-site during the inspection that were not labeled with the child's full name and date. 2. Child B had 4 bottles on-site during the inspection that were not labeled with the child's full name and date.

Plan of Correction: I will tell the parents tonight to label the bottles.

Standard #: 22VAC40-111-200-C
Description: Based on record review, the provider did not obtain written documentation of orientation. Evidence: 1. 2 of 5 staff records reviewed indicated that Staff A and Staff B did not have documentation of orientation on file.

Plan of Correction: I will complete this when the employee's come next time.

Standard #: 22VAC40-111-280
Description: Based on observation, potentially poisonous substances were not kept in areas inaccessible to children. Evidence: 1. An oral rinse (that stated to keep out of reach of children) was found on the dining table within the reach of children. 2. A first aid spray (that stated to keep out of reach of children) was found in a backpack on a shelf within the reach of children.

Plan of Correction: Corrected during time of 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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