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Le Lam
42025 Foley Headwaters Street
Aldie, VA 20105
(703) 327-9618

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Feb. 28, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Personnel
22VAC40-111 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.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Consultation was given on the new background requirements for finger printing, a revised Sworn Statement (SDS) for new staff hired after 7/1/2017 and requesting out-of-state Central Registry checks for staff who have lived outside of Virginia within the last five years. The model SDS form is online at VA DSS as well as a link to the Adam Walsh site to assist with out-of-state central registry forms. VA DSS will be paying for initial child care finger print checks until 9/30/2018. Each facility must establish a point of contact with VA DSS. All questions regarding facility codes should be directed to OBI at 804-726-7884. Eligibility letters will be sent out by e-mail and staff may not be hired until the completed letter is received. Please read, review, and respond to all correspondences regarding the fingerprint roll out. Offered technical assistance to provider regarding handwashing, diapering, and medications.

Comments:
An unannounced monitoring inspection was conducted from 10:30 am through 2:00pm. There were 9 children (18 points) with 2 caregivers. A total of 5 children's files and 4 staff/household member's files were reviewed. The children were engaged in the following: toy play, listening to a Dr. Seuss story, handwashing, bathroom breaks, lunch and napping. The lunch menu included broccoli, quinoa, rasberries, shrimp and milk. Evacuation drill log and injury reports were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at mahrukh.aziz@dss.virginia.gov or 571-835-4718.

Violations:
Standard #: 22VAC40-111-710
Description: Based on observation, prescription medication was not maintained in the original and labeled container dispensed from the pharmacy. Evidence: 1. The provider had emergency medication for Child # 2. The provider did not obtain the original container and prescription label that was provided by the pharmacy. 2. The provider had rescue medication for Child # 3. The provider did not obtain the original container and prescription label that was provided by the pharmacy.

Plan of Correction: I will ask the parents to bring the original container and prescription label.

Standard #: 22VAC40-111-830-B
Description: Based on record review, shelter in place drills were not practiced twice a year. Evidence: Provider did not practice shelter in place drills twice a year. There was no documentation to show that a shelter in place was practiced.

Plan of Correction: I will practice a shelter in place drill and document on the log.

Standard #: 22VAC40-111-220-A
Description: Based on observation and staff interview, provider has not completed a training program for the purpose of administering medication. Evidence: 1. Provider has two emergency medications that require additional training in addition to the Medication Administration Training (MAT) certification. 2. The emergency medications are for Child # 3 and Child # 4. 3. The provider has current certification in MAT but stated that she does not have the additional training required for the emergency medications on site. Provider stated that she was not aware that an additional training would be required.

Plan of Correction: I will get the additional training that is required.

Standard #: 22VAC40-111-240-A
Description: Based on observation, area of outdoor play equipment was not maintained in a safe and operable condition. Evidence: 1. The first slide was found to be broken where it was attached to the play area, causing an injury hazard for the children. 2. A wood plank on the inner side of the outdoor play equipment located in the sand box area was warped and bowing downwards, causing a trip hazard for the children.

Plan of Correction: I will replace both pieces.

Standard #: 22VAC40-111-480-D
Description: Based on observation, equipment used by the children was not maintained and used in accordance with the manufacturer's instructions. Evidence: 1. The outside playground equipment had a rock climbing part. The area at the top of the rock climbing piece was blocked by an indoor safety gate, the use of which is not intended for this purpose. 2. There was a swing made of rope that was used to replace the swing that originally came with playground equipment. 3. Both items were altering the use of the equipment and not keeping in accordance of the manufacturer's instructions.

Plan of Correction: I will look into the replacement of these items and using the equipment in accordance of the manufacturer's instructions.

Standard #: 22VAC40-111-500-F
Description: Based on observation, a trampoline was in use by the children while in care. Evidence: There was an indoor trampoline being used by the children in care.

Plan of Correction: The trampoline was removed during the inspection.

Standard #: 22VAC40-111-530-F
Description: Based on observation, a stuffed toy were being used in a child's crib while the child was sleeping. Evidence: 1. Child # 1 was sleeping in her crib. There was a stuffed toy in the crib while she was asleep. 2. Child # 1's date of birth is 1/18/17.

Plan of Correction: The stuffed toy was removed during the inspection from the crib.

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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