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Finding Dreams in Children
3501 Fairfax Drive
Plaza Level
Arlington, VA 22201
(703) 516-1223

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: March 23, 2023

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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
An in person renewal study was conducted today.
All rooms were in ratio during the inspection. Child and staff records, injury reports, first aid supplies, emergency evacuation drills, injury prevention plan, bottles labeled and dated, menu, and the playground were all observed today.
Violations discussed with the Director: Background searches, injury prevention plan update, injury reports. and TB documentation.
The report will be typed off site and emailed for signatures.
LI was present today from 10:40 AM- 12:30PM. If you have any questions, please contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-B-4
Description: Based on a review of records, staff records do not contain documentation of a completed Criminal History Search for a residence outside of the state of Virginia in the past 5 years prior to employment.
Evidence:
2 of 4 staff records reviewed required documentation of a completed Criminal History Search prior to employment, for a residence outside of Virginia in the past 5 years.
There are no search results available for review.(Staff B: Date of Hire (DOH) 9/26/22), (Staff D: DOH 1/3/23).

Plan of Correction: Requests have been mailed for these employees.

Standard #: 8VAC20-780-160-A
Description: Based on a review of records, staff records do not contain documentation of a negative Tuberculosis screening within the allowable time frame.
Evidence:
1 of 4 records reviewed did not contain documentation of a competed TB screening, negative results prior to employment, and not more than 30 days old. There are no results available for review. (Staff B)

Plan of Correction: Employees will get the results from the doctor.

Standard #: 8VAC20-780-40-J
Description: Based on staff statement, there is no written injury prevention plan update available.
Evidence:
The injury reports have been reviewed and logged; however, there is no documentation to demonstrate the injury prevention plan was updated.

Plan of Correction: Asst. Director will complete the action plan.

Standard #: 8VAC20-780-550-P
Description: Based on a review of injury reports, the report does not contain all required components.
Evidence:
The digital report form in use does not contain space to document future actions to prevent recurrence.
3 of 4 reports reviewed did not contain this information.

Plan of Correction: Sent to BH leadership to review. will write in information from this point forward.

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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