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Martha Howard
4511 South 6th Street
Arlington, VA 22204
(703) 470-8208

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Oct. 13, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Technical assistance today included placement of items in the playground; storage of household items outdoors; training opportunities and the availability of a battery-operated weather band radio. The website for the Infant-Toddler Network is www.va-tsnetwork.org and the phone number is 703 324-8225.

Comments:
An unannounced renewal inspection took place today from 1:10 -3:10 pm. There were nine children present with the provider and three assistants for 26 points. I observed children busy at play with age appropriate toys; practicing literacy with lots of conversation; and preparing for naptime. Plans for the season including decorating small pumpkins. No children's medication was present. Records were well-organized and complete. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-730-D
Description: During today's inspection, household medication were observed not to be in a locked place as required. Evidence: Household members' medication was observed to on a counter in the kitchen in a bottle (eyedrops) and in a pill box; and vitamins and pet medication were observed in an unlocked cabinet above the counter. The gate to kitchen was not consistently locked during the inspection.

Plan of Correction: We will put on a child-proof lock or latch.

Standard #: 22VAC40-111-820
Description: During a review of emergency records and through staff confirmation today, it was found that there were no shelter-in-place practice drills conducted this past year.

Plan of Correction: We will do two extra this year.

Standard #: 22VAC40-111-960-E
Description: During today's inspection, some infant bottles were observed to not be labeled with the child's name and date. Evidence: Three bottles on the counter did not have labels.

Plan of Correction: We will make sure they are labeled.

Standard #: 22VAC40-111-210-A
Description: During a review of staff records today, it was found that the assistant providers did not have documentation of at least 16 hours of annual training.

Plan of Correction: We will be contacting the Infant Toddler Network to be put on their list for training.

Standard #: 22VAC40-111-240-A
Description: During today's inspection, some areas outdoors were observed to not be maintained in a safe condition. Evidence: There were several areas on the fence in the playground area with peeling paint.

Plan of Correction: We will fix or replace the areas of the fence.

Standard #: 22VAC40-111-500-C
Description: During today's inspection, the location of a piece of stationary playground equipment was observed not meet licensing standards regarding surfacing. Evidence: The plastic slide was observed to be located adjacent to the brick patio and wood railing today, with no soft area in the event of a fall.

Plan of Correction: It will be moved today.

Standard #: 22VAC40-111-690-E
Description: During today's inspection, a used diaper was observed to be disposed of in a manner that did not prevent the touching of other surfaces during the process. Evidence: A caregiver was observed today taking a used diaper out to a trash can outdoors by opening the deck door by hand and opening the lid of the trash can by hand before washing.

Plan of Correction: I will retrain my assistant. We will always use the foot pedal.

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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