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Laura Marshall-Norris
12541 Bunche Road
Fairfax, VA 22030
(703) 929-2625

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: Dec. 2, 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
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Please submit your renewal application prior to the expiration date of your license.
Be sure to print out your CPR/First Aid certifications and maintain in the record.

Discussion on the repeated systemic violations that were found during this licensing period.

Comments:
An unannounced Renewal inspection was conducted this date. A total of 6 children (17pts) with Provider were present. Provider's home had a water leak approximately 3 months ago. The kitchen area of the home has damage and is not in working order. Due to this incident, rooms of the home were used for kitchen storage and cabinetry. The children were watching TV when the inspector arrived and decorating the holiday tree. They transitioned to downstairs where they played freely in the space equipped with age appropriate toys and equipment. The provider reviewed the alphabet and the month and date with the children. The children transitioned back upstairs to prepare for lunch. All children's records (6), provider and all household member(2) record were reviewed. This inspection began at approximately 9:50am and ended at 1:45pm. Thank you for your cooperation today. Please email me at: lisa.hudson@dss.virginia.gov with any questions.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on child record review, children's records were not complete.
Evidence: Child #1 began care on 5/13/19, an acceptable proof of identity was not obtained within 7 days of enrollment. Child #3's record did not include 2 emergency contacts.

Plan of Correction: I will obtain these documents and provide the proof of identity to the Licensing Inspector by Friday.

Standard #: 22VAC40-111-180-A
Description: Based on review of staff records, subsequent TB screenings were not obtained.
Evidence: Staff #1's most recent TB screening was dated 4/2017.Household member #2's last TB screening was dated 8/2014.

Plan of Correction: I will schedule and have the TB screening completed. Household member returned to the home, a new TB screening will be completed.

Standard #: 22VAC40-111-230-A
Description: Based on staff record review, documentation of CPR and First Aid certificates were not maintained.
Evidence: Staff #1 completed both trainings and provided the enrollment and completion letters. Certification cards with expiration dates were not maintained.

Plan of Correction: I will print them out. These are now available online.

Standard #: 22VAC40-111-240-A
Description: Based on observation of the home, areas of the home were not maintained in a clean, safe and operable condition.
Evidence:
1. As a result of a water leak, the kitchen sink was removed exposing pipes and the side of the dishwasher exposing the insulation of the side of the appliance.
2. The counter tops were removed from the kitchen, which resulted to the provider storing an unplugged toaster oven within reach of the children in care.
3. Unplugged Crock pots filled with food were within reach of the children in care.
4. A microwave located in the kitchen was missing a leg, presenting a tipping hazard.
5. A pile of plastic grocery bags were laying on the ground, accessible to the children (ages 9 months to 2 years) in care presenting a
hazard.
6. A window blind located on the floor of the family room had blind cords presenting a hazard to the children in care.
7. Smoke detector located in the basement was beeping.
8. Areas of the floor in the kitchen had laminate peeling exposing the sub-flooring.
9. Leaves were piled in the basement entry way and on the steps leading to the back yard presenting a tripping hazard when exiting the basement.
10. Dirty dishes were located on the counter in the kitchen and also on the floor beside the chair in the TV room with dried food

Plan of Correction: I will removed the dishes immediately. I will have these areas cleaned up and the bags removed, I will relocate the appliances where they are not a hazard. I am obtaining estimates for the repairs in the kitchen. Until the repairs are complete, I will place barriers for the children to prevent them from accessing the sink area. I will place area rugs over the flooring. I will remove the leaves from the outside stairwell and maintain this area ongoing. I will remove the blind from the room.

Standard #: 22VAC40-111-430-A
Description: Based on observation of the programming space, children under the age of 2 years had access to stairs.
Evidence: The stairs leading to the upstairs from the kitchen and the stairs located in the foyer were accessible to children in care. (ages 9 months to 2 years).

Plan of Correction: I will leave the gates in place at both of these areas.

Standard #: 22VAC40-111-530-B
Description: Based on observation of the cribs, tight fitting bottom covers were not used.
Evidence: The crib located in the front room off the foyer and the crib located in the basement did not have tight fitting sheets over the mattresses.

Plan of Correction: I will replace the sheets with tighter fitting sheets.

Standard #: 22VAC40-111-570-A
Description: Based on the attendance of children in care during the inspection, Provider did not ensure that 16 points were exceeded.
Evidence: There were 6 children in care during the inspection, based on the ages of the children in care a total of 17 points was assigned. Each caregiver can not exceed 16 points.

Plan of Correction: I will ensure that my points do not exceed. One child's birthday is soon which will allow me to remain at 16 points.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation of the home, the most recent Violation Notice was not posted.
Evidence: The violation notice from the June licensing inspection was not posted.

Plan of Correction: I will post today's inspection.

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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