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OFC/SACC - Keene Mill
6310 Bardu Avenue
Springfield, VA 22152
(703) 644-4760

Current Inspector: Georganne Buccine (571) 255-9072

Inspection Date: April 17, 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.
22VAC40-80 THE LICENSE.
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..

Comments:
An unannounced monitoring inspection was conducted today from 11:20am-12:20pm. There were 31 school-agers directly supervised by 3 staff. The physical plant, 3 staff training records, 5 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, reading books, playing outside, and eating snack. There was an abundant supply of books, toys, and materials for the children. The center was clean and organized. Areas of non-compliance are identified in this report. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (703)479-4680

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on review, the facility failed to ensure that they obtained documentation that each child has received immunizations before the child attended the center. Evidence: Reviewed 5 children's records and found that CH2 did not have documentation of an immunization record on file.

Plan of Correction: Main office provided copies of immunization records.

Standard #: 22VAC40-185-140-A
Description: Based on review, the facility failed to ensure that each child has documentation of a physical examination. Evidence: Reviewed 5 children's records and found that CH2 did not have documentation of a physical examination.

Plan of Correction: Main office provided copy of physical examination documentation.

Standard #: 22VAC40-185-150-B
Description: Based on review, the facility failed to ensure that each immunization record was signed by a physician, their designee or an official of a local health department. Evidence: Reviewed 5 children's records and found that CH3's immunization record was not signed or stamped.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-60-A
Description: Based on review, the facility failed to ensure that all children's records contained the required information. Evidence: 1) Reviewed 5 children's records and found that CH3, CH4 and CH5 did not have documentation of their first day of attendance. 2) Reviewed 5 children's records and found that CH1's emergency contacts did not have a complete address on file

Plan of Correction: Had parents fix all dates on files containing start date.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the facility failed to keep all hazardous items kept in a locked place using a safe locking method. Evidence: Observed that there were 4 canisters or Rustoleum in an unlocked cabinet in room 2.

Plan of Correction: Locked up all hazardous materials in locked closet.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the facility failed to post the findings of the most recent inspection of the facility. Evidence: Observed that the most recent violation notice was not posted at the facility.

Plan of Correction: Posted previous violations.

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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