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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 9, 2017

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

Technical Assistance:
1. Reviewed types of items that are to be locked when not in use. 2. Discussed written injury report documentation.

Comments:
Conducted an unannounced renewal inspection 10:20am-2:30pm. Observed 75 children + 21 direct-care staff. Ratios and supervision were in compliance in all groups. Staff were observed actively head counting the children throughout the day. Children were reading books, having story time, playing with blocks, having outdoor active play, eating lunch, and taking naps during the inspection. Staff were actively engaged with the children and promptly tending to their needs. The infants were have outdoor play time, being held and fed, and taking naps. The center was found to be clean and well supplied with toys and equipment for the children. The outdoor play areas were found to be well maintained. Food services remain catered. Lunch served: chicken, corn and black bean quesadilla, green beans, fruit, and milk. Health and fire inspections were current. Required documents were posted. Medication violations found. Record keeping violations found. Questions about this inspection may be directed to: pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-270-A
Description: Based on observations made, it was determined that areas and equipment of the center were not maintained in a clean, safe, and operable condition. Evidence: 1. The laminate counter/back splash around the sink in the Toddler 2 room was peeling/broken and exposing the rotted pressed wood. Also, an area of drywall in this same area was broken and crumbling. 2. The fabric on the back of a bookcase in the Infant 2 room was peeling from the surface, hanging onto the floor, and exposed a sticky adhesive surface that was dirty with hair, small particles, and grime. A bookcase in the Two's-2 room was found to be in a similar condition. 3. The vinyl cover of the diaper changing pad in the Two's-1 room was torn and exposed approximately 4" of the foam insert.

Plan of Correction: 1. Word order submitted to FDIC facilities 3/9/17 2. Backing will be removed and replaced with contact paper 3/24/17 3. New diaper pad ordered 3/9/17

Standard #: 22VAC40-185-440-J
Description: Based on observations made, it was determined that there was not a minimum of 30" clearance on the service side of occupied cribs. Evidence: There were 3 occupied cribs in the Infant 1 room and 3 occupied cribs in the Infant 2 room that had approximately 12"-24" of clearance.

Plan of Correction: Review requirements and brainstorm new arrangement with infant teams.

Standard #: 22VAC40-185-500-A
Description: Based on observations made, it was determined that a child's hands were not washed after being diapered. Evidence: A staff person placed the child onto the floor after changing her diaper and did not first wash the child's hands. The child was observed sitting with other children and putting her hands in her mouth.

Plan of Correction: Review diapering and hand-washing procedures with all staff.

Standard #: 22VAC40-185-510-A
Description: Based on records reviewed, it was determined that 2 of 5 medications was not maintained in accordance with the center's written policy and these regulations. Evidence: Two non-prescription medicines belonging to Child #4 on-site did not match the written authorization. A brand name medicine was authorized, and the medicines on-site were a generic brand. Also, 1 of the 2 medicines had expired in January 2017.

Plan of Correction: Expired medication discarded on site. Will check that brand matches form and send notice to all parents.

Standard #: 22VAC40-185-550-D
Description: Based on records reviewed, it was determined that the center did not implement a monthly evacuation drill in September 2016.

Plan of Correction: Requirement reviewed with FDIC Emergency Management Specialist

Standard #: 22VAC40-185-560-G
Description: Based on observations made, it was determined that food brought from home by children was not labeled with their name and the date. Evidence: There were 2 drinkable yogurt products and a fruit smoothie pouch observed in cubbies not labeled in the Pre-K room. Also, there was a jar of baby food in Infant-2 room that was not labeled with the name and date.

Plan of Correction: Remind parents to label all food & ask that food not be left in cubbies

Standard #: 22VAC40-185-570-E
Description: Based on observations made, it was determined that bottles of infant milk were not labeled with the child's name and date. Evidence: One bottle in Infant-2 room and 2 bottles in Infant-1 room were not labeled with the date.

Plan of Correction: Remind parents to label each day. Remind staff to verify.

Standard #: 22VAC40-191-40-D-1-C
Description: Based on records reviewed, it was determined that 1 of 5 staff did not have completed background checks within 3 years from the previous checks. Evidence: Staff #4 - The previous Criminal Record Check and Central Registry Check expired in November 2016, and the current checks were completed in February 2017. The staff person was employed for a 3 month period without completed background checks.

Plan of Correction: Ensure that staff spreadsheet is kept current & background checks sent before expiration.

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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