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James Lee Day Care/Preschool
2855 Annandale Road
Falls church, VA 22042
(703) 534-2240

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: July 13, 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.
22VAC40-80 THE LICENSE.
63.2 General Provisions.
63.2 Facilities and Programs..

Technical Assistance:
When a program offers Medication Administration and has children present that may need to have emergency medication given- the center needs to have a MAT certified staff member present too. Discussed food items listed on Menu need to be reflected in the foods being served.

Comments:
An unannounced renewal inspection was conducted today. The children were in one classroom with 2 staff and another joined the group when she brought in lunch. The physical plant, 4 staff records, 3 children? records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group activity, and eating lunch. Hand-washing procedures were also observed. There was a supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in CPR and First Aid, but only one person employed with MAT. Staff-to-child ratios were in compliance. 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. 703-479-4679

Violations:
Standard #: 22VAC40-185-40-E
Description: Based on staff interviews, record review and observation the Center has failed to ensure the center's policy for administering medication is in compliance with the Standards for medication administration. Evidence: 1. Upon arrival, the Director was not present in the facility. The Inspector observed the children and interviewed staff about the children. The Inspector asked the staff about a child's prescription medication found in a locked cabinet. The staff stated the child has written authorization from the parent to give the medication on an "as needed basis". When asked if they were MAT certified, they stated they were not. The staff said the Director is MAT certified. 2. The Director arrived 30 minutes later and the Inspector asked about the two children who have medication and the hours they are present. Child #1 is a morning enrollment only and Child #2 returned recently to the program and is all day enrollment. 3. Child #1 was present that day and had left 10 minutes before the Director arrived. 4. The Director confirmed she is the only person MAT certified because a staff member did not want to renew her certification to administer MAT.

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

Standard #: 22VAC40-185-40-J
Description: Based on record review and staff interviews the center has failed to annually update the injury prevention plan. Evidence: 1. The Inspector was given an written Injury Prevention plan and it was dated 2013. 2. The Director stated they have not had an update conducted since then.

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

Standard #: 22VAC40-185-70-A
Description: Based on record review of three staff files, the center has failed to maintain up-to-date files for the staff. Evidence: 1. While reviewing the file for Staff #2, the Director explained she was a rehire. Staff 2 had left in December, 2014 and was rehired on July 5, 2015. The file contained paperwork from her previous employment at the program and did not include documentation of termination date, rehire date, Sworn Disclosure Statement, and Orientation documentation. 2. The file for staff #3 did not have all of the training documentation maintained and the Director had to locate the certificates in order to place in the file. 3. Staff #1's and staff 4's file had no training documents in the file and staff #1 stated she has not taken any hours this past year. Staff 1 stated Staff 4 has attended trainings but she has not filed them yet.

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

Standard #: 22VAC40-185-240-C
Description: Based on interviews and record review, staff #1 has not completed any of the required 16 hours in annual training. Evidence: 1. Staff file was reviewed and staff stated she has not taken any trainings this past year.

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

Standard #: 22VAC40-185-430-C
Description: Based on observation of playground equipment, the center has failed to ensure 3 of 6 S-hooks used to hold swing seats may not be open more than the thickness of a penny. Evidence: 1. Inspector went out to playground with a staff member and checked the hooks and noted the opening to the staff member.

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

Standard #: 22VAC40-185-540-E
Description: Based on observation the battery operated flashlight does not work.

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

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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