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NVFS Early Head Start - Vermont Center
601 North Vermont St
Arlington, VA 22203
(571) 748-3628

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: July 20, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Risk Assessment that are greater than an A 1 for Violations have been given on the Supplemental page.

Comments:
An unannounced renewal inspection was conducted today. The physical plant, 5 staff records, 5 children? records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, reading books, and preparing for lunch. Diapering procedures were observed and hand washing was discussed. There was a supply of books, toys, and materials for the children but the Outside area was discussed. There was an adequate number of staff with current certification in CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector 703-479-4679

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review, the center has failed to obtain a written plan of action for child #2 who has a food allergy. Evidence: The child has listed food items as allergies but nothing in writing to state what center should do in the event of an allergic reaction

Plan of Correction: The Health/Nutrition Coordinator obtained a medical authorization for NVFS EHS Vermont Center to administer an Epi-Pen to the child in case of an allergic reaction to peanuts/nuts. The medical authorization is effective July 2015 through July 2016. Additionally, the Health/Nutrition Coordinator discussed with the parent; the importance of having an Epi-Pen on campus in case of a medical/allergic reaction to peanuts/nuts. The parent indicates that she was in communication with the provider to obtain a prescription to retrieve. The Health/Coordinator faxed the Emergency Action Plan Form to the child?s medical provider to document and provides the EHS Center Staff on guidance on how to respond to appropriately to a medical emergency/allergic reaction to notes.

Standard #: 22VAC40-185-70-A
Description: Based on record review, the staff file for a staff hired May, 2015 does not have completed references and a current TB Screening report.

Plan of Correction: placed in file.

Standard #: 22VAC40-185-270-A
Description: Based on observation the cneter as failed to maintain a safe condition in the older preschool room. Evidence: 1. In the preschool room, an electrical outlet plate was observed bending out about a half an inch from the wall exposing the top electrical outlet.

Plan of Correction: Has been sealed to prevent any accidents/incidents to children.

Standard #: 22VAC40-185-280-G
Description: A substitute spray container of cleaning substance was not labeled to indicate the contents.

Plan of Correction: labeled

Standard #: 22VAC40-185-330-B
Description: Based on observation, the center has failed to provide resilient surfacing around the outdoor equipment that requires a fall zone free of hazards. Evidence: 1. Outside was checked and grass is growing around preschool outdoor equipment. The mulch that was present is only 2 inches thick.

Plan of Correction: Mulch replaced

Standard #: 22VAC40-185-330-F
Description: Based on observation, the center has failed to ensure a shady area will be provided on the playgrounds during the months of June, July, and August. Evidence: 1. Toddler playground has no shade- tree, that was once close, has been taken down.

Plan of Correction: Will be purchasing covering for Infant Play area.

Standard #: 22VAC40-185-380-A-1
Description: Based on staff interviews and review of classroom schedules, the center has failed to provide the children one hour per day of outdoor activity per day. Evidence: 1. Inspector reviewed schedule that showed a group of children should have been outside but staff said they had not gone out. The staff explained they have only one walk scheduled a day and it lasts 30 minutes. 2. Staff interviewed stated they were waiting for playground to be fixed and so they can only take walks.

Plan of Correction: Updated to reflect 60 minutes of play time and posted

Standard #: 22VAC40-185-420-A
Description: Based on record review of policies and procedures, the center has not included an illness policy for parents that addresses parents notification within 24 hours when a member in the immediate household has developed any reportable communicable disease.

Plan of Correction: The Health/Nutrition Coordinator facilitated a Health Advisory Committee Meeting on July 22, 2015 for the Early Head Start/Head Start Programs of NVFS. Center Managers, Staff and community partners and medical affiliates were in attendance. During the meeting members discussed the current NVFS EHS/HS Parent Handbook used across sites, with a specific focus on Illness/Absence, Communicable Diseases and Parent notification. Revisions have been made per the recommendations of the Health Advisory Committee and will be presented at the next Policy Council Meeting being held on August 3, 2015 for approval.

Standard #: 22VAC40-185-500-A
Description: Based on observation, a center staff failed to wash her hands after wiping a child's face and nose.

Plan of Correction: Reminded staff of our hands washing procedures and expectations. Staff will receive Universal Precaution training on August 31, 2015

Standard #: 22VAC40-185-570-E
Description: Based on observation the center has failed to ensure all infants bottles are labeled and dated. Evidence: 1. Two bottles had contents in each bottle and both were not labeled or dated.

Plan of Correction: Labeled and dated, with reminders daily

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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