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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: Dec. 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.
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Long-term prescription medications may be allowed with written authorization from both the child's physician and parent.

Comments:
An unannounced monitoring inspection was conducted today from 12:25pm-1:30pm. There were 44 children (infants-5yrs.) directly supervised by 11 staff. The physical plant, 4 staff records, 4 children?s records, medications, and emergency supplies were inspected. Children were observed playing outside and preparing for lunch and nap. 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 at erika.gibson@dss.virginia.gov or 703-479-4686.

Violations:
Standard #: 22VAC40-185-150-B
Description: Based on record review, a child's immunization report was not signed by a physician, his designee, or an official of a local health department. Evidence: The immunization report observed for Child 3 was not signed by the physician.

Plan of Correction: The immunization report observed for Child 3 was signed by the physician. Parents are both physicians and the form was given t (sic) them to have signed.

Standard #: 22VAC40-185-60-A
Description: Based on record review, two of four children's records reviewed were incomplete. Evidence: An annual update of children's information was not observed documented for Child 1 (last completed July 8, 2013) and Child 2 (last completed November 10, 2012).

Plan of Correction: Both parents updated the forms and there were no changes, we update these forms throughout the year when parents change any information like telephone contact or address.

Standard #: 22VAC40-185-70-A
Description: Based on record review, one of four staff records reviewed was incomplete. Evidence: Documentation of at least two references was not observed for Staff B, who was hired October 19, 2015. The reference form observed had been partially completed, but reference results were not documented.

Plan of Correction: Staff B references call-back was on the call-back folder, verified the references and responses of good worker are on file.

Standard #: 22VAC40-185-280-B
Description: Based on direct observation, hazardous substances were not kept in a locked place that prevents access by children. Evidence: A spray bottle labeled "chlorox & water" was observed in an unlocked cabinet in the two year old bathroom.

Plan of Correction: Emphasized and retrained staff on our policy to keep all hazardous substances in the locked cabinet provided even if they stop cleaning for a minute or leave the cleaning supplies in a high cabinet out of reach of children. These should always be in the locked cabinet.

Standard #: 22VAC40-185-510-C
Description: Based on medication review, the center did not follow their medication policies and procedures. Evidence: 1. A medication was observed on site for Child 5 with an expiration date of July 2015. 2. A medication was observed on site for Child 6 with an expiration date of June 2015.

Plan of Correction: Medications discarded and/or returned to the parents appropriately (medications are never used if expired).

Standard #: 22VAC40-185-510-N
Description: Based on medication review, when an authorization for medication expired, the center did not notify the parent that the medication needed to be picked up within 14 days or have the parent renew the authorization. Evidence: The written medication authorization form observed for Child 7 expired August 7, 2015 and a new authorization form was not obtained.

Plan of Correction: Medications returned to parents until they bring an updated authorization form, teachers with a MAT certificate always double check the form before giving any medication and if not complete or expired, they call parents for a new one.

Standard #: 22VAC40-80-120-E-2
Description: Based on direct observation, the findings of the most recent inspection of the facility were not posted in the center. Evidence: The inspection findings observed posted in the center were from the December 18, 2014 inspection, which was not the most recent inspection of the facility.

Plan of Correction: Copy was moved to show parents during tour and reposted on 12/7/15 and replaced with new findings on 12/9/15.

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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