VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Winwood Children's Center VIII
42780 Creighton Road
Ashburn, VA 20148
(703) 542-8008

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Sept. 5, 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:

A monitoring inspection was conducted today between 9:00am and 10:30am. There were 52 children present, with 16 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. The children were observed playing soccer, singing, circle time and a diaper change was observed. A total of 5 child records and 5 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 #:	8VAC20-780-160-C
Description:	Based on review of staff records, one staff member does not have documentation of at least every two years from the date of the last tuberculosis screening, the results of a follow-up tuberculosis screening. Evidence Staff #1 has documentation in their record of an expired tuberculosis screening. Tuberculosis screening documentation expired 9/11/2021
Plan of Correction:	Staff had the TB screening completed. The screening will be placed in the staffs file.
Standard #:	8VAC20-780-60-A
Description:	Based on review of five children's records, one record did contain all required information. Evidence The record for child #1 did not contain the addresses for two emergency contacts.
Plan of Correction:	We will make sure all required information is completed on forms before a child's first day.
Standard #:	8VAC20-780-60-A-8
Description:	Based on review of medications, there isn't a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence Child #2 and #3 have a diagnosed food allergy, without a written care plan available.
Plan of Correction:	A FARE form will be sent to all parents of children who have a diagnosed food allergy. FARE form will be placed with the medication.
Standard #:	8VAC20-780-245-J
Description:	Based on review of medication administration procedures, the center does not always have a Medication Administration Training (MAT) staff member on site during operating hours. Evidence Only one staff member is current in MAT. They are not on site during all operating hours.
Plan of Correction:	There are two staff that are MAT trained, but one is not always on during operating hours. We will get additional staff MAT trained as soon as possible.
Standard #:	8VAC20-780-550-G
Description:	Based on review of emergency procedures, not all required documentation is being recorded for monthly evacuation drills. Evidence The monthly evacuation drill log does not include the method of notification, number of staff participating, the current weather or any special conditions.
Plan of Correction:	The correct form has been received and we will begin using immediately.
Standard #:	8VAC20-780-550-P
Description:	Based on review of written record of children's serious and minor injuries, not all required information is being recorded. Evidence Five reports did not include how, when and who was notified of the child's injury.
Plan of Correction:	Reports will be competed including all required information, before staff signs they will review to ensure complete.