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Maria Guevara
2247 Sanibel Drive
Reston, VA 20191
(703) 843-8357

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Dec. 18, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Facilities and Programs

Technical Assistance:
Discussed bottle labeling. Discussed the crib maintenance.
Discussed speaking in English to the Assistants.
Discussed the Virginia Quality Program.
Discussed the 3 hour training required by 3/2020 for subsidy programs.

Comments:
An unannounced monitoring inspection was conducted today between the hours of 9:30am through 11:45am with the provider and assistant on site. There were 8 children (20 points) with the provider and assistant. A sample of 4 children's files and 3 staff/household member's files were reviewed. The children were engaged in the following: toy play, painting, drinking a bottle, snack, and hand washing. Interactions between the children and caregivers were positive. The physical space, emergency supplies, evacuation drills, attendance records and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-111-750-B
Description: Based on observation, the provider did not keep topical skin products out of reach of children and inaccessible.
Evidence:
1. The provider had 5 diaper ointments on a shelf of the changing table that was accessible to children.

Plan of Correction: I moved the diaper creams to a drawer with a lock.

Standard #: 22VAC40-111-60-B
Description: Based on review of four children's records, the provider did not maintain complete children's records.
Evidence:
1. Child #3's file needs the child's medical insurance name and policy number and the child's immunization record.

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

Standard #: 22VAC40-111-70-B
Description: Based on review of four children's records, the provider did not obtain written acknowledgment of the receipt of the policy for administration of medications.
Evidence:
1. Child #2 (start date 5/28/2019) had a policy for administration of medication form in the child's file, but the parent did not sign the form

Plan of Correction: I will ask the parent to sign the form today.

Standard #: 22VAC40-111-90-C
Description: Based on review of four children's records, the provider did not obtain documentation of updated immunizations once every six months for children under the age of two years.
Evidence:
1. Child #1 had an immunization record dated 7/09/2018 and needed updated immunization record in the file.
2. Child #2 had an immunization record dated 5/14/2019 and needed updated immunization record in the file

Plan of Correction: I will ask the parent's for the children's updated immunization record.

Standard #: 22VAC40-111-130
Description: Based on interview, a caregiver did not meet the general qualifications to be able to speak, read, and write in English as necessary to carry out their job responsibilities and communicate effectively with emergency responders.
Evidence:
1. Caregiver #2 was not able to communicate in English during the inspection.
2. Caregiver #1 stated Caregiver #2 can not speak, read or write in English, but is taking English classes twice a week..

Plan of Correction: She will continue to go to English classes and I will practice with her.

Standard #: 22VAC40-111-210-A
Description: Based on training record review, a caregiver did not obtain 16 clock hours of training annually.
Evidence:
1. Caregiver #2 had 10 hours of training during the period 11/2018 and 11/2019 and did not complete the full 16 hours of training.

Plan of Correction: I will make sure she completes the 16 hours of training every year.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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