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

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Nov. 28, 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.

Comments:
An unannounced renewal study was conducted today beginning at 12:35pm. 5 children (16pts) were directly supervised by 2 caregivers. Ratios were in compliance. The physical space, children's records, household/caregiver records, assistant records, evacuation drills, the Emergency Preparedness Plan, menu, emergency supplies and attendance records were reviewed. Required documents were posted. Food and bottles from home were labeled properly. Children were observed napping during the beginning of the inspection, 2 infants were observed being fed bottles and children were also observed waking and washing hands prior to snack. Interactions between caregivers and children were positive. Areas of non-compliance are identified in the Violation Notice. For questions regarding this inspection, please contact stephanie.salvatori@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-700-C
Description: Based on record review, an authorization for medication expired but the parent was not notified that they must pick up the medication within 14 days or must renew the authorization. Evidence: The written authorization form for Child #1 expired 8/17/17.

Plan of Correction: The Provider contacted the parent while the Licensing Inspector was present.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain a subsequent Report of Tuberculosis Screening form for the assistant, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The TB screening for the assistant expired on 8/7/17.

Plan of Correction: The assistant will go today to get the TB screening.

Standard #: 22VAC40-111-210-A
Description: Based on record review, the caregiver and assistant did not obtain a minimum of 16 clock hours of training annually. Evidence: The Provider stated they were having difficulties finding training sessions that were not costly, and therefore haven't done the trainings recently. Records indicated trainings in previous years.

Plan of Correction: We will look for more options and do them right away. We will send the certificates to you once completed. (The Provider also asked the Licensing Inspector to email training options.)

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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