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Clare Lehman
10 Amersham Court
Sterling, VA 20165
(703) 999-2054

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: May 23, 2017

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:
Discussed the requirement of 16 hours of annual training before the renewal visit next December.

Comments:
An unannounced monitoring inspection was conducted today from 12:10pm to 1:45pm. 10 children (24 pts) were directly supervised by 2 caregivers. Ratios were in compliance. The physical space, attendance records, evacuation drills, medications, caregiver records, household member records and 4 children's records were reviewed. Required documents were posted. The space was clean and organized. Children were observed coming in from outside, washing hands before lunch, eating lunch and preparing for rest time. Today's lunch was pizza, corn, fruit and milk. Areas of non-compliance are identified in the Violation Notice. For any questions regarding this inspection, please contact stephanie.togni@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-710
Description: Based on record review and interview with provider, the caregiver no longer meets the requirements in 22 VAC 40-111-220 A. Evidence: The provider's Medication Administration Training (MAT) certificate expired May 14, 2017. Based on review of records and medication, the caregiver did not administers drugs only to the child identified on the prescription label in accordance with the prescriber's instructions pertaining to dosage, frequency, and manner of administration. Evidence: The expiration date on the medication, for Child #1, expired 06/2016.

Plan of Correction: I will notify parents and I am signed up for a class on June 3, 2017 and I will return medication to parents.

Standard #: 22VAC40-111-160
Description: Based on record review and interview of provider, the provider did meet the requirements specified in 22 VAC 40-191, Background Checks for Child Welfare Agencies. Evidence: A Central Registry Report for household member #1, 14 to 18 years of age, was unavailable for review.

Plan of Correction: I will send off for that right away.

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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