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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: March 6, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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

Comments:
An unannounced monitoring inspection was conducted today. The provider and one assistant caregiver were caring for 7 enrolled children and one resident child, totaling 20 points. Children's records, children's medications, emergency preparedness items, the physical plant, programming, and children's nutrition were inspected today. This inspection took place in the middle of the day. The children were observed playing with playdoh, listening to stories, and taking their afternoon nap. The children had been served hummus, carrots, grilled cheese, bell peppers, and milk for lunch earlier today. This inspection was completed between approximately 12:15pm and 1:30pm. 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-A
Description: Based on a review of children's medications, it was determined that one medication has expired. Evidence: One child's prescription medication expired on 1/11/19.

Plan of Correction: I have asked the parents many times to bring new medications. I will speak with them again today and give a very clear one week deadline.

Standard #: 22VAC40-111-700-C
Description: Based on a review of children's medications, it was determined that one child's medications were not sent home within 14 days after the expiration of the authorization form. Evidence: The authorization for one child's medications expired on 7/3/18. The provider neither returned these medications nor obtained a renewed authorization form within 14 days past expiration.

Plan of Correction: The parent has been asked many times to bring me a new authorization form. I will speak to the parent again today and give them a very clear one week deadline.

Standard #: 22VAC40-111-900-A
Description: Based on interviews, it was determined that the provider served one food item in a way that did not adequately assist in preventing choking. Evidence: It was reported to the Inspector that children under the age of 4 were served baby carrots for lunch. The carrots were neither cut nor cooked.

Plan of Correction: When we serve carrots we will either slice them or cook them.

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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