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Ms. Lillie White
13815 Delaney Road
Dale city, VA 22193
(703) 590-9624

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: May 23, 2019

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.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced Renewal Inspection was conducted today from 11:00am to 12:30pm. There were 5 children with a total of 10 points directly supervised by 1 caregiver. The physical plant, 2 caregiver's records, 5 children?s records, no children's medications and medication authorization records were on site, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed playing freely in the backyard and in the playroom. One child went down for an early nap. Hand-washing procedures were also observed. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (540) 340-2672

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, the provider failed to ensure that medications for caregivers and household members are kept in a locked place using a safe locking method that prevents access by children. Evidence: Observed an Advil pill packet in the unlocked bathroom cabinet.

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-111-830-A
Description: Based on review, the provider failed to ensure that emergency evacuation procedures are practiced monthly with all caregivers and children in care. Evidence: Reviewed the provider's emergency evacuation practice drill log and found that no emergency evacuation drill was conducted in August of 2018 or in January of 2019.

Plan of Correction: Will practice monthly fire drills.

Standard #: 22VAC40-111-920
Description: Based on review, the provider failed to ensure that the menu for the current one week period was provided. Evidence: Reviewed the posted menu and found that it did not include meals and snacks for the current date of 5/23 nor the following day 5/24.

Plan of Correction: Updated during the inspection visit.

Standard #: 22VAC40-111-60-A
Description: Based on review, the provider failed to ensure that they maintained children's records with the required information. Evidence: Reviewed 5 children's records and found that 3 ( Child 1, 2 and 3) did not have documentation of parents' annual review and updated of children's records. Last documented updates for CH1 - 9/4/17, CH2 - 2/28/18 and CH3 - 2/28/18.

Plan of Correction: Will have parents update and review at pick up today.

Standard #: 22VAC40-111-180-A
Description: Based on review, the provider failed to ensure that they obtained for each caregiver and adult household member a current report of tuberculosis screening every two years from the date of the first screening or more frequently as recommended by a physician. Evidence: Reviewed 1 household member's records and found that the most recent tuberculosis screening was dated 2/3/17.

Plan of Correction: Will make an appointment as soon as we are able.

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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