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Martia Clark
3303 Collard Street
Alexandria, VA 22306
(703) 373-3735

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on a review of medications, a prescription medication did not have written authorization from the parent. Evidence: Child #3's (start date: 8/3/2015) Epinephrine did not have written authorization from the parent.

Plan of Correction: The form was misplaced but found and added to his file.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 4 of 8 children's records did not contain all of the required information. Evidence: 1. Child #1's (start date: 3/30/2016) record did not contain documentation of parental acknowledgement of the family day home's medication policy, and annual review of emergency contact information performed by the parent. The most recent documented review of emergency information was dated 7/25/2017. 2. Child #2's (start date: not documented) record did not contain documentation of proof of identification, first day of attendance, and parental acknowledgement of emergency medical care. 3. Child #7's (start date: 10/6/2014) record did not contain documentation of the father's work telephone number. 4. Child #11's (start date: 6/25/2018) record did not contain documentation of the father's work telephone number and medical insurance policy number.

Plan of Correction: Records will be updated promptly.

Standard #: 22VAC40-111-200-A
Description: Based on record review, 1 of 3 caregiver records did not contain documentation of orientation. Evidence: Caregiver A's (date of hire: 8/2/2016) record did not contain documentation of orientation.

Plan of Correction: Her file was updated.

Standard #: 22VAC40-111-220-A
Description: Based on observation and record review, the family day home did not ensure that a caregiver has satisfactorily completed a training program for this purpose developed or approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, doctor of medicine or osteopathic medicine, or pharmacist. Evidence: Child #3 (start date: 8/3/2015) has a diagnosed allergy and emergency medication on site. During the time of inspection, there was no caregiver qualified to administer medication.

Plan of Correction: The Substitute provider was enrolled in MAT class.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas and furnishings of the family day home were not maintained in a clean, safe, and operable condition. Evidence: 2 out of 3 infant cribs in the naptime room had chipped and peeling wood along the top edges of the cribs.

Plan of Correction: We replaced those two cribs with extras that we had.

Standard #: 22VAC40-111-600-B
Description: Based on observation, the family day home did not ensure that infants and toddlers spend no more 30 minutes of consecutive time confined in a crib, play pen, high chair or other confining piece of equipment. Evidence: From 12:03pm to 12:39pm, Child #2 (date of birth: 1/11/2018) was strapped in a high chair.

Plan of Correction: We had a retraining regarding this licensing standard.

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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