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Finding Dreams in Children
3501 Fairfax Drive
Plaza Level
Arlington, VA 22201
(703) 516-1223

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: March 2, 2016

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 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
1. Discussed the importance of keeping crib panels clean, especially on the inside. 2. If children are expected to each from plates, then staff should not place food directly on tabletops for children to eat. Observed in the Infant 2 classroom. 3. All personal products belonging to children should be labeled with their name and kept out of reach. 4. Classroom lights should not be dimmed/turned off until most children are going down for naps. Eating lunch in a dimly lit room is not acceptable. 5. Medication administered in a dose that is different from what is written on the authorization form should be noted and explained.

Comments:
Conducted an unannounced monitoring inspection 10:50am-1:15pm. Observed 76 children + 18 direct-care staff + Director + Assistant Director. Ratios and supervision were in compliance. Children were engaged in a variety of activities, to include: story time, singing in rounds, playing Bingo, indoor free-play activities, playing "Red Light Green Light," washing hands, eating lunch, and taking naps. Staff were actively engaged with the children and activities. Food services are catered, lunch served: turkey sloppy joe sandwich, corn, edamame, apples/oranges, and milk. The center was found to be clean and well supplied with toys and equipment for the children. No violations found on the outdoor play area. Staff training requirements met. Medication and record keeping violations found. Questions about this report may be directed to: pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-160-A
Description: Based on staff records reviewed, it was determined that 1 of 4 record did not include documentation of a negative TB screening. Evidence: Staff #3 - Date of hire was 11/30/15, and the 21-day grace period has expired.

Plan of Correction: Negative TB screening for staff #3 received and filed.

Standard #: 22VAC40-185-50-A
Description: Based on observations made, it was determined that staff information was not treated in a confidential manner. Evidence: A document was posted on the parent bulletin board, located in the main hallway, that identified staff by name that had outstanding background checks.

Plan of Correction: Document removed and placed in a locked cabinet.

Standard #: 22VAC40-185-280-B
Description: Based on observations made, it was determined that a hazardous substances was not kept in a locked place. Evidence: A spray solution of bleach + water was found sitting on the counter in the Infant 2 classroom.

Plan of Correction: Corrected during visit. 03/02/16 Memo sent to all staff reminding them to lock bleach water in cabinets. 03/09/16

Standard #: 22VAC40-185-440-E
Description: Based on observations made, it was determined that there was not at least 12 inches of space between occupied cots. Evidence: 1. 4's Classroom - 3 occupied cots were 0"-6" apart during nap time, while 1 cot was surround by furniture on 3 sides with another cot at the bottom. 2. 2's Classroom - 1 occupied cot had furniture/wall on 3 sides and approximately 6" space with another cot on 1 side.

Plan of Correction: Memo sent to all staff reminding them to meet requirements for cot arrangements each day. 03/09/16 Director spoke to staff in 4's classroom and 2's classroom about alternative cot arrangements 03/02/16

Standard #: 22VAC40-185-510-N
Description: Based on records reviewed, it was determined that the center did not following medication procedures and regulations, as 2 of 6 medications authorizations had expired, and the medications remained on-site beyond the 14-day return period. Evidence: 1. Child #3 - The parent authorization for an over-the-counter medicine expired on 1/7/16. 2. Child #4 - The parent authorization for an over-the-counter medicine expired on 1/31/16.

Plan of Correction: System created to ensure that medications are sent home when authorizations expire. 03/07/16 Parents contacted and medication sent home. 03/07/16

Standard #: 22VAC40-191-60-B
Description: Based on staff records reviewed, it was determined that 1 of 4 records did not include a completed Sworn Disclosure Statement (SDS) prior to first day of employment. Evidence: Staff #3 - Date of hire was 11/30/15, and the SDS was dated as completed on 12/14/15.

Plan of Correction: Director will ensure that SDS is completed by each staff member upon hire.

Standard #: 22VAC40-191-60-C-1
Description: Based on staff records reviewed, it was determined that 1 of 4 records did not include a completed Criminal Record Check (CRC) within the first 30 days of employment. Evidence: Staff #3 - Date of hire was 11/30/15, and the CRC was dated as completed on 1/4/16. The staff person was was not denied employment, and was permitted to work in a direct-care position without the completed check.

Plan of Correction: Director will ensure that all background checks are sent within 7 days of hire.

Standard #: 22VAC40-191-60-C-2
Description: Based on staff records reviewed, it was determined that 1 of 4 records did not include a completed Central Registry Check (CPS) within the first 30 days of employment. Evidence: Staff #3 - Date of hire was 11/30/15, and the CPS was dated as completed on 1/20/16. The staff person was was not denied employment, and was permitted to work in a direct-care position without the completed check.

Plan of Correction: Director will ensure that all background checks are sent within 7 days of hire.

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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