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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Current Inspector:

Inspection Date: Jan. 19, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
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 Licensure and Registration Procedures
63.2 Facilities and Programs..

Technical Assistance:
1. Discussed behavior management techniques being used to help a child succeed better in the program.

Comments:
Conducted an unannounced renewal inspection. Observed 21 children + 2 direct-care staff. Ratios and supervision were in compliance. Staff were attentive to the whereabouts of children and accounting for those arriving/departing from the program. Children were observed eating snack, washing hands, and doing homework. Snack served: cheese snack crackers + apple juice. Staff demonstrated patience while interacting with a child that was repeatedly disrespectful to staff, not following directions, and disrupting other children during homework time. Staff were currently certified in First Aid/CPR + MAT (medication administration) Emergency preparedness supplies in compliance. Medication violations found. Required documents were posted. Non-medication record keeping was in order. Inspection completed 2:45-3:45pm.

Violations:
Standard #: 22VAC40-185-50-A
Description: Based on observations made, it was determined that information about children was not treated in a confidential manner. Evidence: The Supplemental Information page of the 7/23/15 inspection report was posted on the parent board. This document included identifying information about specific children. The document states, "Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility." Staff stated that they were unaware that this page of the report should not be posted.

Plan of Correction: Supplemental information sheet will be removed from site

Standard #: 22VAC40-185-510-A
Description: Based on records reviewed, it was determined that medication policies and procedures were not followed for 3 of 5 medications on-site today. Evidence: 1. Child #2 - The long-term medication authorization form did not include the date of the parent signature, a physician signature/date, or the dates of when the medication may be on-site and administered by staff. 2. Child #3 - The medication listed on the long-term authorization form did not match the medicine on-site. 3. Child #4 - The medication authorization on-file did not given CASA staff permission to administer the medicine; it gave Loudoun County Public School staff permission. Also, the form did not include the dates of when the medication may be on-site and administered by staff.

Plan of Correction: Medication will be returned + parents will be asked to re-submit it with proper paperwork + medication. Staff will be given a detailed medication check sheet to ensure they follow proper medication storage.

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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