VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America- Manassas Bull Run
11730 Sudley Manor Drive
Manassas, VA 20109
(703) 335-7700

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Oct. 30, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on 10/30/ 2023 from 12:30pm to 3:55pm. There were 55 (Infants to 5yrs) directly supervised by 9 staff. The physical plant, 9 staff records, 5 children?s records, 2 children's medications and medication authorization records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed preparing for and taking naps. Diapering and hand-washing procedures were also observed. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@doe.virginia.gov) or 540-340-2672.

Violations:

Standard #:	8VAC20-780-150-B
Description:	Based on review, the facility did not ensure that children's immunizations records were signed by a physician or their designee. Evidence: reviewed 5 children's records and found that Child 5's immunization record was not signed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-J
Description:	Based on documentation, the facility did not ensure that they had documentation of an injury prevention procedures that were updated annually based on documentation of injuries and a review of the activities and services. Evidence: reviewed the facility's records and found that they did not have documentation of an annually reviewed injury prevention plan.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on review, the facility did not ensure that children's records were maintained with the required documentation. Evidence: Reviewed 5 children's records and found: 1) Child 5 did not have documentation of a second emergency contact and the first emergency contact did not have an address. 2) Child 3 did not have documentation of viewing the original proof of identity Previously cited on 6/28/2023
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-210-A
Description:	Based on review, the facility did not ensure that program leaders had documentation of meeting one of the required qualifications. Evidence: Reviewed 9 program leader staff files and found that 8 Staff members (1, 2, 3, 4, 6, 7, 8, and 9) did not have documentation of having program leader qualifications.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-C
Description:	Based on review, the facility did not ensure that orientation training was complete. Evidence: reviewed the orientation forms of 9 staff members and found that 6 staff members (1, 2, 3, 6, 8 and 9) did not have documentation of updated orientation training, and 2 staff members (4 and 5) did not have documentation of orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-E
Description:	Based on observation, the facility did not ensure that there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: observed that 4 of the cots were within 12 inches of each other.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	REPEAT VIOLATION Based on observation, the facility did not ensure that disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: observed that the foot operated diaper pail in the Twos B classroom was not operating appropriately and and needed to be opened by hand. Observed in the Infant C classroom, the foot operated diaper pain had a lock on it, that was removed by hand during the diaper disposal process. Previously cited on 6/28/2023
Plan of Correction:	Not available online. Contact Inspector for more information.