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Janet Yamoah
8208 Cooper Street
Alexandria, VA 22309
(703) 360-3706

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Sept. 17, 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

Technical Assistance:
*Upcoming training requirements on the pre-service website. Must be completed by March 2020.
*Due to computer issues, the inspection will be typed and emailed to the provider.

Comments:
An unannounced renewal study was conducted today. At LI arrival there were 4 children (13 points) with one caregiver. Provider returned within 15 minutes. Children were observed resting and playing, and during a diaper change. 4 children and 6 adult records were reviewed. See Violation notice for missing items. If you have any questions about this inspection, please call me at 703-479-4678. A Subsidy Health and Safety Inspection was also conducted today. LI was present today from 1:30 PM - 3:00 PM

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on a review of first aid supplies, the 1st aid kit is incomplete.
Evidence:
Missing item - digital thermometer.

Plan of Correction: I will get it right away.

Standard #: 22VAC40-111-100-A
Description: Based on a review of records, one record does not include a physical past 30 days of enrollment.
Evidence:
CHild #2's first date of attendance is 8/16/19. There is no physical on file.

Plan of Correction: I will ask for the physical.

Standard #: 22VAC40-111-60-B
Description: Based on a review of records, children's records are incomplete.
Evidence:
*3 of 4 records reviewed were missing father's information. (Children #1,3,4)
*1st day of attendance, 2nd emergency contact information. (Child #2)

Plan of Correction: I will ask the parent for the information.

Standard #: 22VAC40-111-70-A
Description: Based on a review of records, there is no written acknowledgment of all policies and procedures.
Evidence:
Missing information includes, medication policy, provisions of the emergency preparedness plan. (Children #2,3)

Plan of Correction: I will have the parents sign them by Friday.

Standard #: 22VAC40-111-90-A
Description: Based on a review of records, one child's record is incomplete.
Evidence:
Child #2 does not have documentation of an immunization record. Date of enrollment (8/16/19).

Plan of Correction: I will ask the parent to bring in the shot record.

Standard #: 22VAC40-111-90-C
Description: Based on a review of records, immunizations have not been updated every 6 months.
Evidence:
Child #1/2 record does not include any updated immunizations. Date of Birth 9/20/17.
Date of enrollment: 12/1/2/17.

Plan of Correction: I will ask the parent to bring in the record.

Standard #: 22VAC40-111-690-D
Description: Based on direct observation, the diapering surface is not non-absorbent.
Evidence:
LI observed a diaper change on a fleece blanket on the floor.

Plan of Correction: We will review every policy. Diapers will be changed on a diaper pad.

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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