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Christina Mitchell
20557 Morningside Terrace
Sterling, VA 20165
(703) 559-1732

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Feb. 12, 2018

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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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 monitoring visit was conducted today between the hours of 9:36am through 12:30pm with the provider on site. There were 5 children (13 points) with the provider. A sample of 5 children's files and 2 staff/household member's files were reviewed. The children were engaged in the following: toy play, coloring, snack, playing with cars, group games, snack time, hand washing, lunch and other organized activities. The home is clean. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov 571-835-0386.

Violations:
Standard #: 22VAC40-111-790
Description: Based on observation, the required telephone numbers were not posted in a visible area close to the telephone. Evidence: 1. 911 or local dial number for police, fire and emergency medical responders was not posted. 2. The responsible person for emergency backup care as required in 22 VAC 40-111-800 A 3 was not posted.

Plan of Correction: I will post it.

Standard #: 22VAC40-111-830-B
Description: Based on review, Shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: 1. The provider had documentation of practicing one shelter in place drill on 3/09/2017 only.

Plan of Correction: I will do it this month.

Standard #: 22VAC40-111-920
Description: Based on interview, meals and snacks are provided by the family day home, however the provider did not have a menu for the current one week period. Evidence: 1. The provider stated she had not made a weekly menu for this week yet and provides food for the children.

Plan of Correction: I will work on the menu.

Standard #: 22VAC40-111-60-B
Description: Based on review, the children's records were not complete. Evidence: 1. Child A's file is missing written authorization if the child is taken off the premises of the family day home as required by 22 VAC 40-111-980. 2. Child B's file was missing the child's nickname, one parents work address and the child's doctor's address and addresses of previously attended child day care and schools and written authorization if the child is taken off the premises of the family day home as required by 22 VAC 40-111-980. 3. Child C's file is missing one parent's work address and written authorization if the child is taken off the premises of the family day home as required by 22 VAC 40-111-980. 4. Child D's file is missing on parent's work address, written authorization if the child is taken off the premises of the family day home as required by 22 VAC 40-111-980 and the documentation of the review of the child's emergency contact information as required by 22 VAC 40-111-780 B. 5. Child E's file is missing one emergency contact address, medical insurance policy number and written authorization if the child is taken off the premises of the family day home as required by 22 VAC 40-111-980.

Plan of Correction: I will ask the parents for the information and have them sign any required forms.

Standard #: 22VAC40-111-170-A
Description: Based on interview, the provider did not obtain from each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. The provider stated household member A moved into her home 1/15/2018 and did not have any documentation on file for the household member. She is over the age of 18 years old.

Plan of Correction: I will ask her to provider the documentation.

Standard #: 22VAC40-111-210-A
Description: Based on record review, annual training has not been obtained. Evidence: 1. Repeated and uncorrected since the March 2017 inspection, provider has not obtained the required 16 hours of training.

Plan of Correction: I registered to take online classes through CCWA. I will begin to take them.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas of the family day home, inside were not maintained in a safe, and operable condition. Unsafe conditions included chipped or peeling paint. Evidence: 1. There was chipped paint / holes in the wall near the changing table on the right side and also on the right wall when you first enter the room.

Plan of Correction: I will fix that.

Standard #: 22VAC40-111-280
Description: Based on observation, potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be inaccessible to children. Evidence: 1. In the kitchen, a can of glade air freshener was on a counter in the kitchen and was accessible to children. 2. In the family room, a container of lysol wipes were on a shelf below the tv where the children play. 3. In the basement play room, a deodorizer was plugged in an outlet low to the ground where the children could access it. 4. In the basement bathroom, there was a container of clorox, oxi clean and disinfectant wipes in an unlocked cabinet above the toilet and an airwick plug in that was plugged in the bathroom outlet.

Plan of Correction: I will move them immediately to make them inaccessible.

Standard #: 22VAC40-111-320-A
Description: Based on observation, small electrical appliances such as, but not limited to, curling irons, toasters, blenders, can openers, and irons were not unplugged when not being used by the caregiver. Evidence: 1. In the kitchen, a toaster oven, magic bullet blender and a coffee kuerig remained plugged in and were not being used by the caregiver.

Plan of Correction: I will unplug them.

Standard #: 22VAC40-111-320-B
Description: Based on observation, Child-resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: 1. There were two outlets not covered on the right side of the basement wall, one outlet not covered by the crib and two outlets not covered under the changing table.

Plan of Correction: I covered them immediately.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on interview, when a person age 18 years or older began residing in the home, a sworn statement or affirmation was not completed. Evidence: 1. Household member A moved into the family day home on 1/15/2018 and the provider did not have a signed copy of the sworn statement or affirmation. The provider has not sent for the central registry or sent the household member for fingerprinting. The provider stated the household member is over 18 years old.

Plan of Correction: I will have her sign it today and send her to get fingerprinting and send the central registry out.

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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