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Elede Abubaker
7644 Summerhill Court
Lorton, VA 22079
(571) 228-6203

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Dec. 4, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Technical assistance today included the diapering area, record keeping and staff- facilitated active play opportunities for children.

Comments:
An unannounced renewal inspection was conducted today from 10:35 am - 1:30 pm. There were seven children in care for 20 points with the provider and assistant. I observed children at free play with a wide variety of toys, preparation for lunch and the beginning of naptime. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-800-A
Description: Based on a review of documents today, there was no written emergency preparedness and response plan available for review. Evidence: Although parents signed the Procedures for Emergency form, the more detailed required document that covers evacuations, relocations and shelter in place was not available today.

Plan of Correction: I will fill it out today and hang it up.

Standard #: 22VAC40-111-960-E
Description: Based on observation during today's inspection, not all infant bottles were labeled. Evidence Although the provider has a system for designating bottles with a round colored sticker, it did not contain names as required.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-100-A
Description: Based on a review of children's records today, not all children had documentation of physical exams as required. Evidence: There were no available physical exams for Child # 1, who began 5/16, and Child # 2, who began 6/17.

Plan of Correction: I will talk to the parents. One parent brought it in but it is not available today.

Standard #: 22VAC40-111-120-B
Description: Based on a review of record keeping today, some assistant provider's required records were not available. Evidence: There was only on reference documented for Assistant # 1 who began 11/18.

Plan of Correction: I will get another reference today.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records today, some did not have all documentation as required. Evidence: Child # 2, 4 and 5 did not have documentation of annual review by parents of emergency contact information.

Plan of Correction: I will talk to the parents.

Standard #: 22VAC40-111-90-A
Description: Based on a review of records today, one child in care did not have an immunization record on file before beginning care. Evidence: Child # 3 began care 10/18 and did not have a shot record available today.

Plan of Correction: I will send a text to the parent today.

Standard #: 22VAC40-111-180-A
Description: Based on a review of household records today, one adult household member did not have a current tuberculosis screening documented as required. Evidence: Household member # 1 had a TB screening that expired 9/18.

Plan of Correction: He will go to get the screening.

Standard #: 22VAC40-111-530-B
Description: Based on observation during today's inspection, some cribs in use by infants did not have tight fitting bottoms as required.

Plan of Correction: I will buy new sheets so they are tighter.

Standard #: 22VAC40-111-530-F
Description: Based on observation, an infant was observed sleeping in a crib with soft bedding under his head. Evidence: An infant (age 5 months) was observed to be sleeping with a rolled up blanket under his head. The provider reports that this was per the parent's request.

Plan of Correction: The blanket was removed. It was requested by the mother but I will explain to her that we need a doctor's note.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on a review of records today, there were no results of one of the background checks as required. Evidence: Although the Search for the Central Registry was mailed in November, there are no results as required for Assistant #1 before beginning work with the children.

Plan of Correction: I am checking with the Office for Background Investigations now.

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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