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Andrea Cotman
2015 S. Monroe Street
Arlington, VA 22204
(703) 861-4113

Current Inspector: Nancy Radcliffe

Inspection Date: Jan. 7, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed with provider; stuffed animals with sleeping children, background search requirements.

Comments:
An unannounced renewal study was conducted today. There are 6 children present (17 points) with one adult. Children were resting quietly during today's inspection. One adult and 3 children's files were reviewed. See violation notice for missing information. Emergency evacuation drills, menu, diapering standards are all in compliance. Due to case load adjustments, your next inspection will be with a different inspector. LI was present today from 12:50 PM - 3:00 PM If you have an yquestions regarding this inspection , please contact me at 703-479-4678.

Violations:
Standard #: 22VAC40-111-120-B
Description: Based upon a review of files, one adult file is incomplete. Evidence: Adult A's file does not include documentation of 2 references.

Plan of Correction: I did conduct the references, they have been misfiled. I will locate the documentation.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, children's files are incomplete. Evidence: 1 of 3 files reviewed was missing documentation of the health insurance ID/policy number. (Child 1)

Plan of Correction: Parent was contacted during the inspection and asked to provide the missing information.

Standard #: 22VAC40-111-70-A
Description: Based upon a review of files, children's files do not contain acknowledgement of policies/procedures. Evidence: 1 of 3 files reviewed was missing documentation of acknowledgment of Liability insurance declaration, and provisions of the emergency preparedness plan. (Child 3)

Plan of Correction: I will have the forms signed tonight.

Standard #: 22VAC40-111-170-A
Description: Based upon a review of adult files, one file is incomplete. Evidence: Adult A does not have documentation of a current TB test/screening on file. (Date of Employment: 10/2015)

Plan of Correction: The staff person has had the test, but not had the results read.

Standard #: 22VAC40-111-570-A
Description: Based upon direct observation, the provider exceeded the allowable points per adult number. Evidence: There are 17 points present based upon the children's ages, with one adult caregiver. 1- 14 month old (4 points), 1-17 month old (3 points), 2 - 23 month old (6 points), 1-2 year old (2 points), 1-3 year old (2 points).

Plan of Correction: I will not be over points. Another adult is usually present, and will be from now on.

Standard #: 22VAC40-191-40-B
Description: Based upon a review of files, one adult file has a disqualifying background search on file. Evidence: Adult A's completed background search includes a conviction for a crime that disqualifies them from employment.

Plan of Correction: The staff person will no longer be employed at the home.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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