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Easter Seals Child Development Center of Northern Virginia
300 Hunton Avenue
Falls church, VA 22046
(703) 534-5353

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: April 22, 2019

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.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced monitoring inspection was conducted today from 10:00am-4:000pm. There were 104 children (infants-5yrs.) supervised by 28 direct care staff. The physical plant, 4 staff records, 10 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed having circle time, using spider puppets, playing outside on the playground, and eating lunch. Bottle feeding procedures were also observed. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Anansa Archer-Hicks at (703) 268-3295, or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records, 4 of 10 children's records did not contain documentation of all of the required information. Evidence: 1. Child #1's (start date: 1/5/2015) record did not contain documentation of allergy information and documentation of child updates and confirmation of up-to-date information in the child's record as required by 22 VAC 40-185-420 E 3. The most recent documented parental review of emergency contact information was dated 2/15/2014. 2. Child #2's (start date: 3/30/2015) record did not contain documentation of dad's work phone number and documentation of child updates and confirmation of up-to-date information in the child's record as required by 22 VAC 40-185-420 E 3. The most recent documented parental review of emergency contact information was dated 3/17/2015. 3. Child #4's (start date: 5/16/2016) record did not contain documentation of proof of identification. 4. Child #9's (start date: 1/21/2019) record did not contain documentation of work telephone numbers for either parent.

Plan of Correction: I will ask parent to provide missing information by tomorrow. Missing medical information will be requested to be returned by next week.

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records, 4 of 4 staff records did not contain documentation of all of the required information. Evidence: 1. Staff A's (date of hire: 4/15/2019) record did not contain documentation of two completed reference checks as to character, reputation. 2. Staff A (date of hire: 4/15/2019), Staff B (date of hire: 3/7/2019), Staff C (date of hire: 3/25/2019), and Staff D's (date of hire: 2/18/2019) records did not contain documentation of completed staff orientation training.

Plan of Correction: I will have the missing information completed by Friday.

Standard #: 22VAC40-185-280-B
Description: Based on classroom observation, 9 of 12 classrooms did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler 4 (children ages 14-24 months) classroom, four chemical spray bottles were sitting on top of the diaper shelf. 2. In the Two's II (children ages 2 years old) classroom, a container of Lysol wipes and a bottle of bleach solution was found in an unlocked cabinet above the counter. 3. In the Two's I (children ages 2 years old) classroom, a spray bottle of Febreeze was found in an unlocked cabinet under the counter. 4. In the Infant II (children ages 5-12 months) classroom, a bleach spray bottle was found in an unlocked cabinet. 5. In the Infant V (children ages 3-6 months) classroom, 2 chemical solution spray bottles were found sitting on a shelf next to the sink, and 2 chemical solution spray bottles were found sitting on top of the diaper shelf. 6. In the Infant III (children ages 5-15 months) classroom, 2 chemical solution spray bottles were found sitting on a shelf next to the sink, and 2 chemical solution spray bottles were found sitting by the sink on the diaper changing station. 7. In the Preschool I (children ages 3 years old) classroom, 2 chemical solution bottles were found in an unlocked cabinet above the counter. 8. In the Preschool II (children ages 3-4 years old) classroom, 3 chemical solution spray bottles were found in an unlocked cabinet above the sink. 9. In the Prekindergarten (children ages 4-5 years old) classroom, one chemical spray bottle was found in an unlocked cabinet above the sink.

Plan of Correction: Effective immediately, conversations will be held with all staff and cleaning solution spray bottles will be moved into cabinets with locks.

Standard #: 22VAC40-185-500-B
Description: Based on classroom observation, 1 of 2 two-year old classrooms did not ensure that diapers were disposed in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The Two's II (children ages 2-years old) classroom had a trash can used for diaper disposal that required staff to lift the top with their hands to open.

Plan of Correction: I will purchase more step-operated trashcans.

Standard #: 22VAC40-185-510-A
Description: Based on a review of medications, 1 of 2 medications did not contain documentation of written authorization from the parent. Evidence: Child #2's (start date: 3/30/2015) Epi-pen did not have documentation of a medication authorization form.

Plan of Correction: I will request for the form to be returned no later than April 30th.

Standard #: 22VAC40-185-510-C
Description: Based on a review of medications, 1 of 2 medications were not in compliance with methods to prevent use of outdated medication. Evidence: Child #2's (start date: 3/30/2015) Epi Pen expired 1/2019.

Plan of Correction: We will request for it to be provided by this week.

Standard #: 22VAC40-185-550-D
Description: Based on a review of drills, the center did not implement a monthly practice of evacuation drill. Evidence: There was not documentation of fire drills completed for November 2018 through March 2019.

Plan of Correction: We will schedule a fire drill this week.

Standard #: 22VAC40-185-550-M
Description: Based on a review of injury reports, 2 of 5 injury reports did not contain all of the required information. Evidence: 1. One injury report did not contain documentation of the time of parent notification. 2. One injury report did not contain documentation of one staff member and one parent signature, or two staff signatures.

Plan of Correction: I will correct all missing information. Moving forward, we will ensure that all sections are completed.

Standard #: 22VAC40-185-570-B
Description: Based on staff interview, the center did not ensure that bottles are not propped or used while the child is in his designated sleeping location. Evidence: Staff interviews stated and confirmed that infant bottles are being used for one child when he is sleeping on his cot.

Plan of Correction: We will speak to the parents about transitioning the child to a sippy cup, and begin performing "spot-checks" to ensure that no children are in their designated sleeping areas with food or drinks.

Standard #: 22VAC40-185-570-E
Description: Based on classroom observation, 1 of 4 infant classrooms did not ensure that all bottles were refrigerated, dated, and labeled with the child's name. Evidence: 1. In the Infant 3 (children ages 5-15) months, Child #8 (start date: 3/11/2019) had 3 bottles that were not labeled with the date. Child # 9 (start date: 1/21/2019) had 2 bottles that were not labeled with the date. Child #10 (start date: 4/9/2019) had 4 bottles that were not labeled with the date. 2. In the Toddler IV (children ages 14-24 months) classroom, Child 11 (start date: 3/22/2019) had 2 bottles of formula that were sitting out on the counter. Staff stated that the bottles do not get refrigerated.

Plan of Correction: We will speak to the parents about transitioning the child to a sippy cup.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on a review of staff records, 2 staff records did not contain documentation of out-of-state child abuse and neglect search requests by the end of the 30th day of employment. Evidence: 1. Staff B's (date of hire: 3/7/2019) record did not contain documentation of out-of-state central registry requests for District of Columbia and Pennsylvania, as indicated on the employee's sworn disclosure statement. 2. Staff D's (date of hire: 2/18/2019) record did not contain documentation of out-of-state central registry requests for Flordia, as indicated on the employee's sworn disclosure statement.

Plan of Correction: I will complete and send them out tomorrow, and will perform a weekly follow-up with the state until all background checks are returned.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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