VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Maple Lawn Sterling
20890 Pidgeon Hill Drive
Sterling, VA 20165
(703) 337-3593

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Jan. 3, 2024

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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect 8VAC20-790 Subsidy Regulations

Technical Assistance:

Licensing inspector discussed the following topics with center administration: - fire drill log cannot be pre-dated - medicine cannot be administered without parents signing administration forms - license plates missing off buses - please use VDOE incident report template

Comments:

Today an unannounced Monitoring Inspection took place between the hours of 10:50am and 2:20pm to determine compliance with repeat violations and systemic deficiencies. There were 3 classrooms observed with a total of 25 children with 5 staff within the supervision guidelines. The children were observed eating lunch and other organized activities. A complete inspection of the physical plant, children and staff records, fire drill log, medication and emergency procedures were observed during this inspection. Staff-to-child ratios were in compliance. Areas of non-compliance are identified on the Violation Notice. Thank you for your cooperation during the inspection. If you have any questions, please e-mail me at whitney.mcgrath@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Repeat Violation. Systemic Deficiency. Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #2 record does not contain documentation of immunizations.
Plan of Correction:	We will tell the family they cannot return until the immunizations are provided.
Standard #:	8VAC20-780-50-A
Description:	Repeat Violation. Systemic Deficiency. Based on observation, information contained in a child's record was not kept confidential. Evidence: The supplemental pages from the providers 10/13/2023 inspection, that clearly states "DO NOT POST" and "confidential information" was posted with the inspection notice on the wall next to the office.
Plan of Correction:	Corrected during the inspection.
Standard #:	8VAC20-780-200-A
Description:	Repeat Violation. Based on interview the center does not have a qualified program director or a qualified back-up program director who meets one of the director qualifications who is regularly be on site at least 50% of the center's hours of operation. Evidence: Staff #4 is currently managing the center during the majority of operating hours and stated that Staff #6 arrives at the facility at 2pm. Staff #6 is a program director at a separate school owned by the entity and is not at the center 50% of the operating hours.
Plan of Correction:	I will make sure I start coming into the center earlier.
Standard #:	8VAC20-780-245-A
Description:	Based on record review, staff did not annually complete 16 hours of training appropriate to the age of children in care. Evidence: Staff #1 completed 7 hours of training in 2023.
Plan of Correction:	We will start checking training hours halfway through the year and reminding the staff they have to complete their 16 hours.
Standard #:	8VAC20-780-245-J-3
Description:	Based on interview, children with emergency medication are not always in the care of a staff member who has current Medication Administration Training (MAT). Evidence: Staff #4 is the only staff person that has current MAT. Staff #4 confirmed that they are not on-site at the facility during all hours of operation when children with emergency medication are on-site.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Repeat Violation. Systemic Deficiency. Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. The belt buckles in the seats of the eating table in the infant classroom are either missing completely or torn, and tied back together. 2. There are small holes in the wall in the shape of a square next to the door in the infant classroom. 3. The play mat on the floor of the infant room has tears in it, exposing the inner foam. 4. There are a hole in the wall approximately 3" X 3" next to the door to the three year old classroom.
Plan of Correction:	Mats with holes removed from infant room during inspection. Holes in wall covered with paper during inspection.
Standard #:	8VAC20-780-290-A-3
Description:	Repeat Violation. Systemic Deficiency. Based on observation, electrical outlets did not have protective covers. Evidence: There was a low outlet observed in the busy bees classroom without one electrical outlet covers.
Plan of Correction:	Corrected during inspection.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, hand washing requirements were not met. Evidence: 1. Child #1 was observed having their diaper changed. The child was laid down in the crib after the diaper change and their hands were not washed. 2. Staff #2 was observed changing a diaper. The staff laid the child in the crib after the diaper change, cleaned up the changing area, put miscellaneous items away before washing their hands. 3. 4 children in the toddler room were observed having their hands wiped with a wet wash cloth prior to eating lunch. The childrens hands were not washed with soap and running water prior to eating.
Plan of Correction:	We will start implementing proper policy today.
Standard #:	8VAC20-780-520-A
Description:	Based on observation, over-the-counter skin products were kept beyond their expiration date. Evidence: Child #4 diaper cream expired 8/2022.
Plan of Correction:	We will return it to the parents today.
Standard #:	8VAC20-780-550-P
Description:	Based on record review, the centers records of childrens injuries did not meet requirements. Evidence: 2 out of 2 incident reports reviewed did not contain documentation of how the childrens parents were notified of their injuries, preventative measures, or two signatures.
Plan of Correction:	We will start using the template you send us.
Standard #:	8VAC20-780-560-F-4
Description:	Based on observation, children three years of age or younger were offered foods that are considered potential chocking hazards. Evidence: Four infants and toddlers were observed being served pasta with grilled chicken. The grilled chicken was served as large 2-3" strips and were not cut into bite size pieces.
Plan of Correction:	We will speak with the kitchen staff about cutting up food for infants and toddlers.
Standard #:	8VAC20-780-570-A
Description:	Based on observation, the safety belt was not used for children using infant seats. Evidence: 3 out of 4 infants and toddlers were not buckled into their feeding chairs using the safety belt.
Plan of Correction:	We have additional high chairs that the infants can use for feeding.
Standard #:	8VAC20-820-120-E-3
Description:	Systemic Deficiency. Based on observation, a notice of intent to deny renewal of the license of the child day center was not posted in a prominent place at the entrance of the program to advise consumers of serious and persistent violations. Evidence: The notice of intent issued to the provider on 12/21/2023 was posted on the inside of the facility next to the office. Center management confirmed that families drop off at the front door.
Plan of Correction:	Corrected during the inspection.