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The Flagstone School
721 N. Columbus Street
Alexandria, VA 22314
(703) 683-7114

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: June 8, 2022

Complaint Related: No

Areas Reviewed:
Areas of Standards Reviewed:



? 8VAC20-780 Administration.
? 8VAC20-780 Staff Qualifications and Training.
? 8VAC20-780 Physical Plant.
? 8VAC20-780 Staffing and Supervision.
? 8VAC20-780 Programs.
? 8VAC20-780 Special Care Provisions and Emergencies
? 8VAC20-770 Background Checks (8VAC20-770)
? 20 Access to minor?s records
? 22.1 Background Checks Code, Carbon Monoxide
? 63.2 Child Abuse & Neglect

Comments:
A monitoring inspection was conducted on June 8, 2022. There were 44 children present, with 12 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 children's records and 4 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:
Standard #: 22VAC40-185-510-C
Description: Based on review of medication, the center's procedures for administering medication include over the counter medication will only be accepted if they have been authorized by a physician.
Evidence
An over the counter allergy medication was on site without having an authorization from a physician.

Plan of Correction: We will not accept any over the counter medication without having authorization from a physician, which is our own policy.

Standard #: 8VAC20-780-420-E-1
Description: Based on review of 4 children's records, one did not contain a parental annual review of emergency contact information.
Evidence
The records for child #1, enrolled over one year, did not contain an annual update to their emergency contacts.

Plan of Correction: We will make sure all children's records are reviewed annually by the parent.

Standard #: 8VAC20-780-500-B
Description: Based on observation, the diapering surface is not being cleaned and sanitized after each use.
Evidence
The diapering surface was sanitized after each use, but not cleaned first. The required procedure includes: spray or dip with a solution of soap and water, pat dry, spray or dip with a solution of bleach and water and allow to air dry.

Plan of Correction: Corrected during the inspection. We will make sure there is always the cleaning and sanitizing solutions available in each classroom.

Standard #: 8VAC20-780-510-H
Description: Based on review of medications on site, one medication was not in its original box and no direction label was attached.
Evidence
Medication that was administer in April 2022 was not in its original box or have a label identifying who the medication belonged to, the dosage or the name of the medication.

Plan of Correction: We will not accept any medication that is not in the original box with the pharmacy label attached.

Standard #: 8VAC20-780-510-P
Description: Based on review of medications, one medication was expired (11/2021).
Evidence
Medication that was administered April 29, 2022, expired in November 2021.

Plan of Correction: Medications will be reviewed monthly to ensure no expired medications are on site or given to children.

Standard #: 8VAC20-780-520-C
Description: Based on observation, not all diaper ointment is labeled for individual use.
Evidence
Diaper ointments located in the Infant room, were not all labeled with the child's name.

Plan of Correction: We will make sure all topical creams are labeled with the child's name.

Standard #: 8VAC20-780-520-D
Description: Based on observation, insect repellent was not identified for individual use.
Evidence
Insect repellent located in the Infants room, was not labeled with the child's name.

Plan of Correction: We will make sure all bug stray is labeled with the child's name.

Standard #: 8VAC20-780-550-A
Description: Based on review of emergency procedures, the Emergency Preparedness Plan has not been updated annually and does not address staff responsibility and facility readiness with respect to emergency evacuation and relocation.
Evidence
The current Emergency Preparedness Plan was last updated in April 2003. The plan is not complete and contain all required components. Staff phone numbers, responsibilities and facility readiness in regards to emergencies is not complete.

Plan of Correction: We will review our plan and make any updates. Going forward we will make sure the plan is reviewed annualy.

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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