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Brittany Nkansah
14108 Sorrel Chase Court
Centreville, VA 20121
(571) 365-8559

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: May 24, 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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Facilities and Programs

Comments:
An unannouncedrenewal inspection was conducted today from 10:30am-12:25pm. There were 6 children (15 points) directly supervised by the . The home, 2 staff records, 5 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed watching a children's program, playing with blocks, dancing and being encouraged by the provider to clean up their toys as they were finished. One child was observed to be held during a bottle feeding. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on record review, non-perscription medication was observed in the family day home without written authorization from a parent. Evidence: 1. A bottle of cough syrup for Child 2 did not have a parent's authorization. 2. A bottle of infant Ibuprofin did not have parent's authorization.

Plan of Correction: I will ask the parent's for an authorization form.

Standard #: 22VAC40-111-720-A
Description: Based on observation, 1 of 2 non prescription medications was not labeled with the child's name. Evidence: A box containing infant Ibuprofen was observed without the child's name labeled.

Plan of Correction: I will label the medication.

Standard #: 22VAC40-111-830-A
Description: Based on record review evacuation procedures were not practiced monthly. Evidence: No evacuation drill was documented for April 2019.

Plan of Correction: We will resume monthly evacuation drills.

Standard #: 22VAC40-111-830-B
Description: Based on record review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: The most recent shelter-in-place drill was documented on 4/23/2018.

Plan of Correction: I thought it was only one per year. I will resume practicing two times per year.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance for 3 of 5 children's records reviewed.. Evidence: Child 1, 2, and 5's records do not contain documentation of a physical examination.

Plan of Correction: I will ask the parent to provide documentation for the physical.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 2 of 5 children's records reviewed were incomplete. Evidence: 1. Child 2's record does not contain the information for one of the two required emergency contacts. 2. Child 4's record does not contain documentation for: the child's address; the parents' name, address, and phone number; the name, location, an phone number of the parents' employer; the name and phone number of the child's physician; the child's health insurance carrier and policy number; and the name and contact information for two emergency contacts.

Plan of Correction: I already emailed the parents to bring the missing information.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to the child attending the family day home. Evidence: Child 5's record does not contain a record of immunization.

Plan of Correction: I will reach out to the mom to get the missing records.

Standard #: 22VAC40-111-180-A
Description: Base on record review, the provider did not obtain for each caregiver a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: Adult 1's most recent Tuberculosis screening was conducted on 3/15/2017.

Plan of Correction: I will obtain a new screening.

Standard #: 22VAC40-111-200-A
Description: Based on record review, the provider did not orient assistant provider by the end of their first week of assuming job responsibilities. Evidence: There is no documentation of orientation present in the records for Adult 4 and 5.

Plan of Correction: I will download the form from the VDSS website and provide the orientation to the required adults.

Standard #: 22VAC40-111-210-A
Description: Based on record review and provider statement, not all caregivers have completed the required 16 hours of training annually in areas relevant to their job responsibilities. 1. Adult 1 has not not completed zero of the required sixteen training hours. 2. Adult 4 has completed seven of the required sixteen training hours. 3. Adult 5 has not not completed zero of the required sixteen training hours.

Plan of Correction: We will complete the hours.

Standard #: 22VAC40-111-320-B
Description: Based on observation, child protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: An unprotected outlet was observed on the chalkboard wall to the right of the entrance to the family day home.

Plan of Correction: I will replace the cover.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the provider did not deny employment to an employee without a central registry finding within 30 days of employment or volunteer service. Evidence: Adult 5's record does not contain the findings of a central registry finding.

Plan of Correction: We will re send the background check.

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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