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Maria Teresa's Babies Early Enrichment Center
825 23rd Street
Arlington, VA 22202
(703) 979-2229

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: May 4, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed the following with the center director: -Written injury reports should indicate the actual time in which the parent was notified of the injury (not to document "at pick up"). Also, the reports should include the method of how the parent was notified. -Any medication authorization that exceed 10 days should be renewed by the parent. Long-term (more than 10 days) medication authorization forms should be completed by the parent and the doctor.

Comments:
An unannounced monitoring inspection was conducted today from 9:25am-11:35am. There were 58 children (infants-5yrs.) directly supervised by 16 staff. The physical plant, 4 staff records, 4 children?s records, medications, evacuation drills, injury reports and emergency supplies were inspected. Children were observed making play dough, playing with puzzles, coloring, and working independently. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector. Erika Gibson (erika.gibson@dss.virginia.gov) 703-479-4686

Violations:
Standard #: 22VAC40-185-150-B
Description: Based on record review, a child's immunization report was not signed by the physician. Evidence: The immunization printout report observed for Child 4 was not signed by the physician.

Plan of Correction: The Doctor?s signature is located on page 4 with the physical exam on 5/4/15

Standard #: 22VAC40-185-60-A
Description: Based on record review, children's records were incomplete. Evidence: 1. The address was not observed documented for the second emergency contact person listed for Child 3. 2. The street address and phone number were not observed documented for the second emergency contact person listed for Child 4.

Plan of Correction: We asked the parents immediately on 5/4/15 for the addresses Addresses on file on 5/5/15

Standard #: 22VAC40-185-240-D-5
Description: Based on record review, there was not always at least one staff member on duty who had obtained training within the last three years in performing the daily health observation (DHO) of children. Evidence: The training documentation for DHO observed for Staff B was last completed on October 19, 2011 and expired on October 19, 2014.

Plan of Correction: Three of our staff will renew the training by May 30th, 2015

Standard #: 22VAC40-185-280-B
Description: Based on direct observation, hazardous substances were not kept in a locked play to prevent access by children. Evidence: 1. A spray bottled labeled "Chlorox" was observed in an unlocked cabinet in the middle 1 year old classroom located on the main level. 2. A spray bottled labeled "water & Chlorox" was observed in an unlocked cabinet in both children's bathrooms located on the upper level.

Plan of Correction: All Cabinets will be locked every time the liquids are used (cabinets are high and out of reach of children). Corrected immediately on 5/4/15

Standard #: 22VAC40-185-290-3
Description: Based on direct observation, electrical outlets did not have protective covers. Evidence: 1. An outlet was observed without a protective cover on the wall, under the cubby area, in the 1 - 1/2 year old classroom (class near the door to the playground). 2. An outlet was observed without a protective cover the lower portion of the wall, located by the door of the infant classroom.

Plan of Correction: Corrected immediately on 5/4/15

Standard #: 22VAC40-185-500-B
Description: Based on direct observation, the diapering area was not maintained in a non-absorbent manner. Evidence: The diaper pad in the 1-1 1/2 year old classroom was observed ripped, thus causing the surface to no longer be non-absorbent.

Plan of Correction: Replaced immediately on 5/4/15

Standard #: 22VAC40-185-510-C
Description: Based on medication review, the center did not follow their medication policies. Evidence: Medications were observed on site for Child 6 and Child 7 without a written authorization from the parents.

Plan of Correction: We asked for renewal medication form or return medication to parents on 5/5/15 (no longer accept medication without form and return medication immediately once form expires)

Standard #: 22VAC40-185-510-N
Description: Based on medication review, when the medication authorization expired, the center did not notify the parent to pick up the medication within 14 days or to renew the authorization. Evidence: 1. The written medication authorization observed for Child 5 expired February 22, 2015. 2. The written medication authorization observed for Child 8 expired March 27, 2015.

Plan of Correction: Returned the medication immediately on the same day 5/4/15 and as noted above will return medication once form expires

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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