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Children of America - Sterling
46586 S. Cottage Road
Sterling, VA 20164
(571) 926-9324

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: Aug. 25, 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.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussion was held on the topics of current enrollment and current staffing. Discussion of the water play activity that was going on outside on the playground. Discussion of the need to make sure that both the electronic (tablet) copy and the hard (paper) copy of the classroom attendance are accurate and are identical to one another at all times.

Comments:
The following inspection took place between the hours of 11 am through 4 pm. Today, I met with the Staff of the Children of America center located in Sterling, Virginia. At the start of this unannounced monitoring inspection there were a total of 99 children with 16 staff; good ratios in all 10 rooms. The school age room was on a field trip away from the center on the date of inspection. A total of 3 children?s files and 4 new staff files were reviewed. The children were engaged in the following: games, water play on playground, art, diapering, infant sleeping, music, story time, song, centers in the room, hand washing, bathroom breaks, lunch (turkey, rice, mixed vegetables, mixed fruit, served with milk), nap time, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-185-130-B
Description: Based on review, 1 of 3 children's files reviewed indicated that the center did not obtain documentation of additional immunizations once every six months for a child under the age of two years. Evidence - 1. On the date of inspection (08/25/2015), the most recent immunization page listed for Child #1 was dated - 07/25/2014. 2. Based on the information on file, Child #1 was under the age of two years on the date of inspection.

Plan of Correction: The Parent of Child #1 has been contacted and an updated immunization page will be obtained.

Standard #: 22VAC40-185-160-A
Description: Based on review and interview, 4 of 4 staff files reviewed indicated that submitted documentation of a negative tuberculosis screening (TB), no later than 21 days after employment, was not available. Evidence - 1. On the date of inspection (08/25/2015), TB documentation was not available for review for: Staff #1, Staff #2, Staff #3, and Staff #4. 2. Each staff stated (during interviews conducted on the date of inspection) that TB documentation was submitted to the Center Director within the required 21 days. However, this documentation could not be located when requested by the Licensing Inspector.

Plan of Correction: All applicable staff will be requested to submit new documentation if the original documentation can not be found. TB documentation for Staff #1, and Staff #2 were corrected on the date of inspection.

Standard #: 22VAC40-185-70-A
Description: Based on review, 2 of 4 new staff files reviewed indicated that for staff hired after March 1, 1996, there was no documentation on file that two or more references as to character and reputation as well as competency were checked before employment. Evidence - 1. On the date of inspection (08/25/2015), the reference checks for both Staff #3, and Staff #4 were not available for review. 2. On most forms the top part of the check had be filled out, but the results section was never completed. 3. The start dates were: June 08, 2015 for Staff #3, and July 06, 2015 for Staff #4.

Plan of Correction: All references will be located or (if needed) rechecked.

Standard #: 22VAC40-185-270-A
Description: Based on observation, two pieces of equipment inside the center was not in clean or safe condition. Evidence - 1. On the date of inspection (08/25/2015), within the Toddler B room, climbing mats shown signs of wear. The corners and other areas on each mat are frayed. 2. On the date of inspection, within the 2's room, a large area rug appears to be heavily strained and is need of cleaning. This same rug was used for the children to sit on each day.

Plan of Correction: All items will be replaced.

Standard #: 22VAC40-185-440-I
Description: Based on observation and interview, a crib was placed where an object outside the crib (a cord from a window blind) was within reach of an infant. Evidence - 1. On the date of inspection (08/25/2015), within the Infant B room, a sleeping infant was observed in a crib that was placed beside a window. The blinds were pulled all the way up with its cord hanging all the way down next to the crib. 2. The Staff #4 stated (during an interview conducted on the date of inspection) that the child was 13 months old, was able to stand, and walk. The cord would have easily been within the child's reach.

Plan of Correction: The cord was tied up on the date of inspection.

Standard #: 22VAC40-191-60-C-2
Description: Based on review, 1 of 4 staff files reviewed indicated that the licensed Child Day Center (CDC) does not have a central registry finding (CPS) within 30 days of employment. Evidence - 1. On the date of inspection (08/25/2015), an initial CPS finding for Staff #1 was not available for review. 2. The start date for Staff #1 was listed as 05/18/2015. 3. Within the file for Staff #1 was an original copy that was returned to the center by the central registry and marked with blue high-lighter as areas that needed to be corrected before a finding could be administered. This document was stamped as originally received by the central registry on 05/26/2015. 4. The corrections were never made to this copy, but placed on file with the findings section of this request still not completed.

Plan of Correction: The finding will be resent. Future employment of Staff #1 will be denied until the finding is obtained with an acceptable result.

Standard #: 22VAC40-191-60-D-1
Description: Based on review and interview, 1 of 4 staff files reviewed indicated that a requested report was sent within seven calendar days but was not returned within 30 calendar days, and the requester did not contact the applicable agency within four working days. Evidence - 1. On the date of inspection (08/25/2015), a sent CPS request had yet to be returned for Staff #3. 2. Staff #3 stated (during an interview conducted on the date of inspection) that when a call was made to the central registry, they informed Staff #3 that the request was received, but had not been processed. 3. However, this contact was made outside of the stated four working day window. 4. The start date for Staff #3 was 06/08/2015. It is believed that the request was sent within seven calendar days of this date.

Plan of Correction: Staff will be trained on the time frame, and documentation for all sent requests.

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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