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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: Nov. 1, 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

Technical Assistance:
Discussed with provider the need for improved record keeping of staff and children's records, discusses background checks.

Comments:
An unannounced renewal inspection was conducted between 10:20am through 1:30pm. There were 8 children in care. The caregivers were engaged in free play with the children. Outside play, nap time, TV time, lunch (chicken nuggets, soup, fruit and milk) were observed. Provider has a sufficient supply of art/craft items, toys and books for the children. Staff/children and household member's records were reviewed. Areas of non compliance are discussed in the violation notice. For any further questions about this inspection, please contact me at 571-835-4718 or e-mail at mahrukh.aziz@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on record review, the family day home's emergency preparedness plan was not updated annually. Evidence: The last date of annual update for the provider's emergency preparedness plan was 4/21/15. No annual updates were completed since the last one.

Plan of Correction: The plan will be updated this week.

Standard #: 22VAC40-111-830-A
Description: Based on record review and staff interview, the emergency evacuation procedures was not practiced monthly. Evidence: A fire drill for September was not conducted.

Plan of Correction: I will practice monthly fire drills and document on the log.

Standard #: 22VAC40-111-960-E
Description: Based on observation, infant bottles were not labeled and dated. Evidence: 1. 1 milk bottle for Child # 1 was not labeled with child's name. 2. 1 milk bottle for Child # 2 was labeled with the child's name, and the bottle was also not dated.

Plan of Correction: We will start to label and date the bottles.

Standard #: 22VAC40-111-60-A
Description: Based on staff interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: When Licensing Inspector requested to see Child # 2's records, provider could not find the records. Child # 1's start date is September 2017. Provider stated that she had the parents complete the forms but could not find them during the inspection.

Plan of Correction: I will check with the parents and if paperwork is not found, we will redo all the forms.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records did not contain all required documentation. Evidence: 1. The medication policy was missing from Child # 1's file. 2. The first day of attendance and annual update of child's records was not obtained for Child # 3's file. 3. The annual update for Child # 4's file was not completed. The last date of Child # 4's annual update was 10/3/2016. 4. The medication policy, emergency plan and liability insurance declaration was missing from Child # 5's file.

Plan of Correction: We will obtain all missing information from the parents and update records.

Standard #: 22VAC40-111-180-A
Description: Based on records review, the provider did not maintain updated tuberculosis (TB) screening for staff and household members. Evidence: 1. Date of last TB screening for Staff # 1 was October 2015. 2. Date of last TB screening for Household Member # 1 was 10/19/15.

Plan of Correction: We will get updated TB screenings.

Standard #: 22VAC40-111-230-A
Description: Based on record review, written documentation of staff orientation was not completed for staff. Evidence: Staff orientation for Staff # 3 was not completed and written documentation was not maintained in the staff's file. Staff # 3's hire date was 9/18/17.

Plan of Correction: I will conduct the orientation and complete the orientation record and put in staff file.

Standard #: 22VAC40-111-240-A
Description: Based on observation, area of the family day home, inside and outside, was not maintained in a clean, safe, and operable condition. Evidence: The slide to an outdoor play equipment had a large crack at the top of the slide, posing an injury hazard for the children.

Plan of Correction: We will replace the slide and create a climbing ramp for the children.

Standard #: 22VAC40-111-460-D
Description: Based on records review and staff interview, provider did not maintain documentation of current rabies vaccination. Evidence: 1. The rabies vaccination for provider's cat was last administered on 6/15/16 2. No documentation of the rabies vaccination for provider's dog could be found during the inspection.

Plan of Correction: The vaccination will be completed for the cat. We will find the vaccination record for the dog.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface was absorbent. Evidence: Two diaper changing pads used for diaper changing were ripped, exposing the foam from the inside, making the surface absorbent.

Plan of Correction: I will get new diaper changing pads.

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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