VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Michuchutren
4401 Sideburn Road
Fairfax, VA 22030
(571) 732-3228

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Sept. 12, 2022

Complaint Related: No

Areas 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 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Discussed the medication policy and the need to have a Mat trained staff member in order to give medication.

Comments:

An unannounced monitoring inspection was conducted on 9/12/2022 from 10:00am to 11:15am. At the time of entrance, 2 children were in care with 5 staff members present. Children were observed doing the following: making finger puppets, singing in Spanish, washing hands, eating snack and lining up to go outside. Interactions between the children and staff were positive. The site was clean, organized and contained an abundant supply of developmentally appropriate materials. A selection of staff and children records, the physical space, evacuation drills and attendance records were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days of enrollment. Evidence: 1. Child #1 (start date 1/17/2022) did not have a physical examination in the file.
Plan of Correction:	Contact parents of child and ask to please sent a printed version of the physical examination as soon as possible
Standard #:	8VAC20-780-150-B
Description:	Based on review, each child's immunization record did not include the signature by a physician, his designee, or an official of a local health department and was not on the local health department form or physician's form. Evidence: 1. Child #1 (start date 1/17/2022) had an immunization record that was not signed or stamped and not on the health department form or the physicians form.
Plan of Correction:	Contact parents of child and ask to please sent a printed version of the physical examination as soon as possible
Standard #:	8VAC20-780-160-A
Description:	Based on record review, each staff member did not submit documentation of a negative tuberculosis screening that was completed within the last 30 calendar days of the date of employment. Evidence: 1. Staff #1 (Date of hire 7/05/2022) had a tuberculosis screening dated 4/08/2022 and had not been completed within the last 30 calendar days of the date of employment.
Plan of Correction:	Ask staff member to bring a recent doctor's note about her tuberculosis screening.
Standard #:	8VAC20-780-40-J
Description:	Based on interview, the center did not update at least annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. Evidence: 1. Staff A stated was reviewed for the 2021/2022 school year.
Plan of Correction:	The injury prevention procedures will be reviewed and updated.
Standard #:	8VAC20-780-70
Description:	Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 (Date of hire 7/05/2022) did not have documentation of two or more references and the required orientation.
Plan of Correction:	Document that both references were contacted and print-sign the orientation checklist according to new regulations
Standard #:	8VAC20-780-240-I
Description:	Based on review, documentation of orientation training was not kept by the center and placed in the staff record. Evidence: 1. Staff #1 (Date of hire 7/05/2022) did not have documentation of the orientation training.
Plan of Correction:	Print and complete the new orientation training form
Standard #:	8VAC20-780-245-A
Description:	Based on review, a staff member did not complete annually a minimum of 16 hours of training. Evidence: 1. Staff #2 completed 15 hours of training between 8/2021 and 8/2022.
Plan of Correction:	Create a list containing all training hours for each staff membere to make sure every staff member ash completed the needed hours at the end of the year.
Standard #:	8VAC20-780-550-B
Description:	Based on review and interview, the emergency preparedness plan did not include a plan review and update annually. Evidence: 1. Staff A stated the emergency preparedness plan was last reviewed and updated on 1/2021.
Plan of Correction:	Document and update the emergency preparedness document. Make sure it is dated with the date of revision.
Standard #:	8VAC20-780-550-G
Description:	Based on interview and review of documentation, the center did not maintain documentation of all emergency evacuations. Evidence: 1. Staff A stated a evacuation drill was completed in May 2022, but did not document the drill.
Plan of Correction:	Remind all staff members that every fire drill needs to be documented inmediately. Make sure the Tornado drills are documented in the right are of the page
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: 1. The center did not have the findings of 3/02/2022 inspection posted. the 8/31/2021 inspection was posted on the board.
Plan of Correction:	The inspection will be posted immediately on the board.