VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Teddy Bear Day Care of University Mall
10615 Braddock Road
Suite 100
Fairfax, VA 22032
(703) 352-3188

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Oct. 21, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2 Facilities & Programs.

Technical Assistance:

Discussion was held on the topics of documentation for children?s and staff records and medication authorizations.

Comments:

An unannounced monitoring inspection was conducted from approximately 1:30pm through 4:30pm. At the time of entrance, 74 children were in care directly supervised by 10 staff members. Ratios were in compliance. Children were observed during nap time, bottle feeding, diapering, crawling and tummy time. Staff was observed while supervising nap, diapering, sanitizing toys, and bottle feeding infants. The rooms were clean, organized and contained a varied supply of developmentally appropriate materials. A selection of staff and children records, the physical space, required posted documents, the first aid kit, emergency supplies, evacuation drills, attendance records and medications were reviewed. Areas of non-compliance are identified in the violation notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles-lopez@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-60-A-7
Description:	Based on record review, the record for each child enrolled did not contain all required information. Evidence: 1) The record for Child #7 did not contain documentation of an allergy plan that describes actions to take in an emergency situation.
Plan of Correction:	I will ask mom to get it.
Standard #:	22VAC40-185-70-A
Description:	Based on record review, the record for each staff person did not contain all required information. Evidence: 1) The record for Staff #2, did not contain documentation that two or more references were checked before employment.
Plan of Correction:	I will call today.
Standard #:	22VAC40-185-80-A
Description:	Based on observation and document review, written record of children in attendance was not kept each day. Evidence: 1) In the Infant room #2, eight children were present in the room. 2) The attendance sheet for Infant room #2 had only six children documented as present.
Plan of Correction:	We will make sure everybody is checked in every day.
Standard #:	22VAC40-185-260-A
Description:	Based on documents review, the center has not obtained an annual fire inspection report from the fire official. Evidence: 1) The last fire inspection report available for review was dated 10/1/2018.
Plan of Correction:	Director called to set up an appointment during the inspection. Inspection will be on 11/12/2019
Standard #:	22VAC40-185-420-E-1
Description:	Based on record review and interview, the posted daily records for each infant who cannot turn over by themselves do not all contain the amount of time spent on their stomachs. Evidence: 1) At the date of inspection, staff in the Infant room #1 stated that four out of the seven infants in the room cannot turn over by themselves. 2) On daily records from 09/30 to this date (10/21/19) only two children had the time documented. It was not documented for Child #8 and Child #9. 3) Staff in the Infant room #1 stated that they do not write it if the parent didn?t ask for it to be documented.
Plan of Correction:	We will start documenting tummy time whether they do it or not.
Standard #:	22VAC40-185-510-N
Description:	Based on medication review, the center did not dispose of medication remaining at the center for over 14 days after the expiration of the authorization. Evidence: 1) On the date of inspection (10/21/19) Child #10 had one prescription medication and one over-the-counter medication on site. The expiration date on both authorization forms was 09/12/19. 2) On the date of inspection (10/21/19) one prescription medication authorization for Child #10 had an expiration date of 09/19.
Plan of Correction:	I contacted mom and she will get the new authorizations and medication.
Standard #:	22VAC40-185-560-G
Description:	Based on observation, food containers brought from home were not clearly dated and labeled in a way that identifies the owner. 1) In Infant room #1, two food containers were not labeled with the date.
Plan of Correction:	We will make sure that the food is labeled with the name and date.
Standard #:	22VAC40-185-570-E
Description:	Based on observation, all infant bottles were not dated and labeled with the child's name. Evidence: 1) In Infant room #1, four bottles were not labeled with the date. 2) In Infant room #2, one bottle was not labeled with the child?s name or date.
Plan of Correction:	We will make sure that the bottles are labeled with the name and date.