VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fairfax County Park Authority - Spring Hill
1239 Spring Hill Road
Mc lean, VA 22102
(703) 827-0989

Current Inspector: Kara Vaughan (703) 537-6241

Inspection Date: Jan. 24, 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 minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Child 3's prescription medication expired in July 2023. THE PROVIDER MUST SEND DOCUMENTATION TO THE LI THAT THE BACKGROUND CHECKS HAVE BEEN REQUESTED NO LATER THAN 10 DAYS FOLLOWING THIS NOTIFICATION DATED JANUARY 29, 2024. ONCE THE BACKGROUND CHECK IS RECEIVED BY THE CENTER, THE RESULTS MUST BE FORWARDED TO THE LICENSING INSPECTOR.

Comments:

An unannounced monitoring inspection was conducted today from 10:15am-11:30am. There were 25 children directly supervised by 3 staff. One classroom was operating outside of the required ratio requirements and there was no administrator present. The physical plant, 3 staff records, 6 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play. There was an assortment of age appropriate materials for the children in care. The center was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Vaughan at kara.vaughan@doe.virginia.gov or 703-537-6241. Please submit your plan of correction within five business days in order for it to be included on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation, the findings of the most recent licensing inspection were not posted in the facility. Evidence: The findings from the inspection dated May 24, 2023 were not posted in the facility on the date of inspection.
Plan of Correction:	In response to the observation, the preschool has made the administrator aware of the necessity of posting the most recent licensing inspection findings, and as a corrective action, the current licensing inspection results have been promptly posted in the facility.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, one staff did not have, prior to hire, the results of an out of state criminal record check of a state the staff member has resided in within the preceding five years. Evidence: Staff 1's record does not contain a D.C. criminal record check.
Plan of Correction:	Based on our records and staff input, Staff 1 has been residing in Virginia since 2017, while Staff 2 resides in DC; documentation of background checks for Staff 2 is attached for reference.
Standard #:	8VAC20-780-40-E
Description:	Based on observation and record review, the center did not maintain compliance with it's own policies. Evidence: 1. The board outside of the four year old classroom has a sign posted stating that the child day center is "nut free". 2. The classroom contained several boxes of a cereal which contains almonds. 3. Child 3, present in the classroom has an allergy to nuts requiring medication.
Plan of Correction:	In response to the identified non-compliance, the preschool has promptly implemented a corrective plan of action by disposing of all food items containing nuts within the four-year-old classroom. This action aims to rectify the inconsistency observed, as evidenced by the "nut-free" sign outside the classroom, the presence of almond-containing cereal, and the specific allergy needs of Child 3.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and interviews conducted, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. Evidence: An allergy list was not observed in the three year old classroom. When the staff members present in the room was asked, they could not produce an allergy list.
Plan of Correction:	In response to the identified deficiency, the preschool has taken corrective measures by informing staff of the protocol, and a second copy of the allergy list has been prominently posted inside the cabinets in both classrooms, ensuring accessibility to all staff working with the children in compliance with 8VAC20-780-60 A 8.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, children's records did not contain all required information. Evidence: 1. Child 2's record did not contain the child's last date of attendance. 2. Child 4's record did not contain the name, addresses and phone numbers for two emergency contacts. 3. Child 5's record did not contain one listed parent's place of employment. 4. Child 6's record did not contain the addresses for the listed emergency contacts.
Plan of Correction:	1.In response to the identified non-compliance, Child 2's last date of attendance has been documented 2.Child 4's parents have been notified and will bring in information by February 5. 3.Child 5 has been disenrolled. 4.Child 6's parents have been notified and will bring in information by February 5.
Standard #:	8VAC20-780-240-C
Description:	Based on record review, 3 of 3 staff present did not receive the required orientation training. Evidence: Staff 1, 2, and 3's records did not contain documentation that they had received an orientation for all required topics.
Plan of Correction:	In response to the identified non-compliance, the preschool has updated the staff orientation document to align with licensing requirements and incorporated it into the current site orientation to ensure comprehensive training for all staff members, including Staff 1, 2, and 3.
Standard #:	8VAC20-780-240-D
Description:	Based on record review, there was not documentation that staff members have been given all required information writing with the center's information listed in 8VAC20-780-420 A prior to working alone with children and within seven days of the first day of employment. Evidence: There was no documentation that Staff 1, 2, and 3 had received an orientation and all required information in writing.
Plan of Correction:	In response to the identified gap in documentation, the preschool has rectified the - issue by ensuring that Staff 1, 2, and 3 receive all required information in writing, with the teachers having received the information upon onboarding, and it has now been incorporated into the preschool environment and made accessible to all teachers.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: A spray bottle of disinfectant was observed on top of an unlocked cabinet.
Plan of Correction:	In response to the observation, the preschool has reinforced the policy and emphasized the importance of securely storing hazardous substances by implementing measures to ensure all such items are locked and inaccessible to children.
Standard #:	8VAC20-780-340-B
Description:	Based on observation and interviews, during the center's hours of operation, there was not an adult on the premises shall be in charge of the administration of the center. Evidence: On the date on inspection there was not an administrator of the child day center present. The only staff members present were the three teachers which were supervising children outside of the ratio guidelines.
Plan of Correction:	In response to the observed absence of an administrator during the inspection, thepreschool has implemented a scheduling system to ensure the continuous presence of administrative staff on the premises throughout all operating hours.
Standard #:	8VAC20-780-350-B-4
Description:	Based on observation, the child day center was not supervising children at the the required ratio of 1 staff member to 10 children for children aged 3 to 5 years old. Evidence: On the date of inspection Staff 3 was observed to be supervising 15 children aged 4 years old. Staff 3 stated that the co teacher was not in for the day and that no relief staff was expected.
Plan of Correction:	In response to the identified non-compliance, the preschool has instituted a Redistribution Protocol to ensure adherence to licensing standards and maintain a safe learning environment. This protocol, created for direct reference by teachers, provides a step-by-step guide for redist tinting staff when necessary ri to uphold the 1 to 10 ratio, addressing concerns raised during the inspection where Staff 3 was supervising 15 children without the expected relief staff.
Standard #:	8VAC20-780-510-I
Description:	Based on a review of medication, the center agreed to provide prescription medication without following all requirements. Evidence: 1. Child 2 had emergency prescription medication at the center on the date of inspection. The medication did not have the original labeled container from the pharmacy. 2. Child 3 had emergency medication at the center on the date of inspection. The child day center did not have a signed authorization to administer the medication.
Plan of Correction:	I. In response to the identified issue, the preschool has taken corrective action by promptly removing and disposing of Child 2's medication, as the child has been disenrolled. 2.In response to the citation, the preschool has promptly notified parents of Child 3's need for emergency medication authorization, instructing them to submit a signed authorization form from the physician by Monday. February 5, 2024, to ensure compliance with medication administration protocols.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the three year old classroom a two bags containing medication were observed without the lock engaged. The medication were in a backpack within reach of children in the classroom.
Plan of Correction:	In response to the observed lapse in medication safety, the preschool has addressed the issue by discussing the protocol for locking medication with all staff members, and a checklist has been developed to ensure the secure storage of medication in compliance with safety measures.
Standard #:	8VAC20-780-510-L
Description:	Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the three year old classroom a two bags containing medication were observed without the lock engaged. The medication were in a backpack within reach of children in the classroom.
Plan of Correction:	In response to the observed lapse in medication safety, the preschool has addressed the issue by discussing the protocol for locking medication with all staff members, and a checklist has been developed to ensure the secure storage of medication in compliance with safety measures.
Standard #:	8VAC20-780-510-P
Description:	Based on a review of medication, medication was not picked up by the parent or disposed of within 14 days of the child's disenrollment. Evidence: Child 2's medication was present at the center on the date of inspection. Child 2 disenrolled from the program in November 2023.
Plan of Correction:	In response to the identified issue, the preschool has taken corrective action by promptly removing and disposing of Child 2's medication.