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Lorena Dennehy
13921 Waterflow Place
Centreville, VA 20121
(703) 656-6971

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Aug. 22, 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 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:
Previous violations were discussed and brought into compliance. Discussed record keeping, the future requirements for background checks and requirements for assistants. The provider also showed proof of the purchase of 3 new cribs to be delivered this week and proof of enrollment in training classes. Another assistant is possibly starting soon.

Comments:
An unannounced renewal study was conducted today from 10:15am to 12:30pm. 6 children (22 points) were directly supervised by 2 caregivers. The physical space, attendance records, children's records, caregiver records, pet records, evacuation drills and the emergency preparedness plan were reviewed. Required documents were posted. No medications were on site. Parents provide the food for children. The space was clean, organized and contained an abundance of age appropriate materials. Areas of non-compliance are identified in the Violation Notice. For questions regarding this inspection, please contact stephanie.salvatori@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, refrigerated bottles shall be labeled with the child's full name and the date, if more than one infant is in care. Evidence: 4 out of 4 bottles inspected were not labeled with dates.

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

Standard #: 22VAC40-111-120-B
Description: Based on record review, the provider did not obtain the required information or maintain a record for Assistant #1. Evidence: The file for Assistant #1 was incomplete. The following was missing: personal information, emergency contacts, 2 reference checks, background checks and documentation of education and training. Assistant #1 only had the Sworn Disclosure statement, TB screening and CPR/First Aid Certificate available for review. The assistant started employment on August 9, 2017.

Plan of Correction: The background checks will be sent off today and I will complete the rest of the information.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider did maintain children's records to contain the required information. Evidence: 3 out of 6 records did not contain the required information. The Proof of ID documentation was incomplete for Child #1, the Liability Insurance form was not signed for Child #2 and Child #3 had immunization records but no health examination as required by 22 VAC 40-111-100.

Plan of Correction: I will get all of the information today.

Standard #: 22VAC40-111-130
Description: Based on record review, the provider did not meet the requirements specified in 22 VAC 40-191. Evidence: The subsequent Criminal History check was not available for review. The latest record was dated 3/15/2011.

Plan of Correction: I must have misplaced it or accidently thrown it away. I will get a new one right away.

Standard #: 22VAC40-111-200-A
Description: Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: Assistant #1 began employment August 9, 2017 and as of today did not have documentation of orientation.

Plan of Correction: I will finish her file today.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider did not have outlet covers installed on all unused electrical outlets accessible to children under the age of five years of age. Evidence: 2 outlets were uncovered in a room where all children were under the age of 5.

Plan of Correction: I will cover those 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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