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Lily Pad at Metro Park
6361 Walker Lane C-110
Alexandria, VA 22310
(703) 347-7885

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: March 13, 2018

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 General Provisions.
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed with center management and staff the need for additional training on recognizing and reporting suspected child abuse and neglect. Discussed obtaining permission from parents prior to any field trips or activities outside the facility.

Comments:
An unannounced monitoring inspection was conducted on 3/13/18 triggered by a self reported incident of a staff member rough handling a child and forcing the child to assume an uncomfortable position. Staff were interviewed. Based on the preponderance of evidence, violations were cited related to the incident. A full monitoring inspection was conducted on this date as well. During the inspection, there were 51 children in direct care of 11 staff members. Children were observed getting fed their bottles, doing a craft activity, enjoying circle time and singing songs. The Pre-K classroom was preparing for a fancy luncheon. The Pre-K children had the opportunity to dress up for the fancy luncheon. 5 staff/children's records were reviewed. Emergency drill records and medications were reviewed. For any questions regarding this inspection, please contact me at mahrukh.aziz@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-400-B
Description: Based on staff interviews and record review, staff did not use behavioral guidance that was age and stage appropriate with the intent to redirect children to appropriate behavior. Evidence: 1. On 3/8/18, Staff # 1 and Staff # 2 took a a group of 13 children to the building's 11th floor instead of going to the playground due to cold weather. 2. Staff # 2 stated verbally and in written statement that she had 8 out of the 13 children with her. Staff # 2 stated that the rest of the group was with Staff # 1. 3. When Staff # 2 and her group of children sat down by one of the windows, she looked over at the other group and saw Staff # 1 holding child # 1 upside down by one foot. Staff # 2 stated that child # 1 was off the ground as Staff # 1 was holding the child upside down. Staff # 2 stated that Child # 1 was upset and crying, and the child's shoes were off. 4. Staff # 2 stated that Staff # 1 held the child in that position until the child calmed down. 5. Although Staff # 1 denies holding the child upside down, she acknowledged that she had to redirect Child # 1 by holding her around the feet and ankles as the child was kicking Staff # 1 during her temper tantrum.

Plan of Correction: Staff # 1 was terminated effective 3/9/18. All staff were retrained on mandated reporting requirements verbally and in writing.

Standard #: 22VAC40-185-410-1
Description: Based on staff interviews and record review, staff rough handled and forced a child to assume an uncomfortable position. Evidence: 1. On 3/8/18, Staff # 1 and Staff # 2 took a a group of 13 children to the building's 11th floor instead of going to the playground due to cold weather. 2. Staff # 2 stated that she had 8 out of the 13 children with her and the rest of the group was with Staff # 1. 3. When Staff # 2 and her group of children sat down by one of the windows, she looked over at the other group and saw that Staff # 1 was holding child # 1 upside down by one foot. Staff # 2 stated that child # 1 was off the ground as Staff # 1 was holding the child upside down. Staff # 2 stated that Child # 1 was upset and crying, and the child's shoes were off. 4. Staff # 2 stated that Staff # 1 held the child in that position until the child calmed down. 5. Staff # 2 did not say anything to Staff # 1 at that time but stated that she looked at Staff # 1 in a way to indicate that she wanted Staff # 1 to stop. 6. Staff # 2 stated that when child # 1 stopped crying and the group was getting ready to come back downstairs to the facility, Staff # 2 held the child to comfort the child. 7. Staff # 3 stated that she talked to Staff # 5 about the incident.

Plan of Correction: Staff # 1 was terminated effective 3/9/18.

Standard #: 22VAC40-185-580-L
Description: Based on record review and staff interview, parental permission for field trips was not secured by the center before the scheduled activity. Evidence: 1. On 3/8/18, a group of 2-3 year old children were taken on a walking field trip to the 11th floor of the building. 2. The center did not secure parental permission from the parents before the scheduled activity. 3. Staff interviews have indicated that the children were being taken to the 11th floor frequently as an alternative to the playground due to cold weather.

Plan of Correction: All staff have been told not to use unoccupied floors for times of inclement weather, keep us inside. A blanket permission form has been added to the child registration form.

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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