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Maria Encinas-Arevalo
2304 Emmett Drive
Alexandria, VA 22307
(571) 575-0249

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: Dec. 10, 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.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures

Technical Assistance:
Discussed with Provider that fire drills are required monthly and shelter drill is done twice a year. Provided a copy of medication authorization form. Reminded Provider to have HH member obtain fingerprinting when she returns from University, the other HH member must obtain as soon as possible. All HH members and caregivers must have fingerprint results.

Comments:
An unannounced monitoring inspection was conducted today between the hours of 8:30 am through 10:15. There were a total of 11 children (34 points) with 3 caregivers. A total of 4 children's files and 5 staff/household member's files were reviewed. The children were engaged in the following: breakfast, toy play, learning time, colors, bathroom breaks, and hand washing. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Margaret.allworth@dss.virginia.gov or 703-209-3521.

Violations:
Standard #: 22VAC40-111-700-B
Description: Based on record review, a child's prescription medication did not have written authorization from the parent or physician. Evidence: Child #1 has 2 medications for allergies, one prescription and one non prescription. There was no written authorization from the parent or physician. The Provider does have a allergy action plan signed by the physician.

Plan of Correction: I will have the parent and physician complete the medication form for each medication.

Standard #: 22VAC40-111-700-C
Description: Based on medication review, one child's medication has expired. Evidence: Child #1 prescription medication for an allergy expired 10/2018.

Plan of Correction: I have asked the parent for new medication. I will remind the parent again.

Standard #: 22VAC40-111-540-A
Description: Based on observation, high chairs were not used according to the manufacturer's instructions and when occupied by a child, a safety strap was not used and securely fastened. Evidence: Upon arrival the Licensing Inspector observed 2 infants in a high chair without the safety strap secured. The 2 high chairs were missing the safety straps.

Plan of Correction: I will order safety straps.

Standard #: 63.2-1721.1-B-2
Description: Based on record review, a household member has not submitted fingerprinting. Evidence: Household member #1 has not submitted fingerprinting.

Plan of Correction: I will have him complete by end of week.

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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