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Children of America - Doc Stone
75 Dunn Drive
Stafford, VA 22556
(540) 657-4567

Current Inspector: Morgan P Bryson (540) 270-0057

Inspection Date: Nov. 22, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
VA Pre-service training required for Subsidy participants Reminder: please resume the emergency escape drills before the end of this month Be sure the twos remain in sight and sound supervision if only one teacher is present during diapering/toileting.

Comments:
An unannounced monitoring inspection was conducted with regional specialist and assistant director. There were 64 children present, ranging in age from 5 months to six years old. The children were engaged in a variety of activities including free play, art projects, arriving from school, and afternoon snack. Snack served today: pretzels and cheese. Three emergency medications for three children were reviewed - please see Supplemental Summary for missing items. Four staff are certified in Medication Administration Training. Two staff files and two children's files were reviewed and are in compliance. The last health inspection was conducted 8/16/2016. The last fire inspection was conducted 10/13/2016. The artwork in the pre-Kindergarten classroom shows excellent programming. Time of today's inspection: 2:00 p.m. to 5:30 p.m. Please feel free to contact me if you have any questions 540--219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-80-A
Description: Based on a review of the attendance records, the facility failed to ensure all children were included on the daily written attendance record. Evidence: in Preschool 2, there were 17 children present; however, only 13 children were included on the daily written attendance record.

Plan of Correction: All staff will be retrained on attendance and accountability. All children will remain in proper assigned classrooms.

Standard #: 22VAC40-185-350-F
Description: Based on observation and interview with staff, the center failed to keep children within their regular group, by casually reassigning children for reasons other than administrative necessity, and disrupting the children's schedule and attachment to their regular group. Evidence: three children were moved from Pre-K to Preschool 2, an older infant was moved to the younger infant group, one toddler was moved to the older infants room, and another toddler was moved to the twos room.

Plan of Correction: All children will remain in assigned classrooms. Management will be retrained on proper transitions.

Standard #: 22VAC40-185-500-B
Description: Based on observation, the facility did not contain soiled linens in a lidded, leakproof container. Evidence: there was a bag of soiled linens on the sink counter.

Plan of Correction: When employees leave for the day, all soiled linens will remain in soiled container with lid and taken to laundry.

Standard #: 22VAC40-185-510-A
Description: Based on review of medications, the facility failed to have a completed long term medication authorization for each medication on site. Evidence: The long term medication form (MAT model form) was missing the first page of the authorization. The first page states the child's name, the name of the medication, the dosage amount, and the time or times to be given.

Plan of Correction: Parent faxed the first page of the authorization to the center at the conclusion of the inspection. 11/22/2016

Standard #: 22VAC40-185-550-D
Description: Based on review of the emergency evacuation drill log, the facility failed to document a practiced drill each month as required. Evidence: there was no drill documented for October 2016.

Plan of Correction: Facility will document all monthly drills and include two management signatures.

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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