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Ms. Harmony Amnathvong
28 Saint Albans Boulevard
Stafford, VA 22556
(540) 429-0476

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: April 30, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
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:
A caregiver with Medication Administration Training (MAT) certification must always be present when emergency medications are on site.

Comments:
An unannounced monitoring inspection was conducted from 2:30 ? 5:15pm with the substitute provider, an assistant and the provider. There were nine children in care, ranging from 19 months to five years of age, for a total of 23 points. Children were observed napping, watching an age appropriate television program/video, having snack and playing outdoors. Snack served today was oranges, ginger snaps and water. Four children's records and four caregiver/household member records were reviewed. Emergency drills were reviewed and are in compliance. Two emergency medications for one child were reviewed and in compliance. If you have any questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of four children's records, not all contained documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Child A's (date of enrollment: 8/24/2015) record did not have documentation of a physical examination.

Plan of Correction: Will ask the parents for a copy of the physical at pickup tonight.

Standard #: 22VAC40-111-220-A
Description: Based on interview with the substitute provider, a caregiver that had satisfactorily completed training to administer medication was not always on site. Evidence: There was no documentation that caregiver A or caregiver B had Medication Administration Training (MAT) certification and there was one emergency medication on site.

Plan of Correction: Caregiver A had MAT training and we will obtain a copy of the MAT certification documentation for the record.

Standard #: 63.2-1720.1-A
Description: Based on review of four staff/household member files, and an interview with the provider, it was determined that not all staff had criminal history record checks prior to their first day of employment. Evidence: Staff B (date of hire: 4/10/2018) did not have documentation of a criminal history record check in their file.

Plan of Correction: Employee made an appointment for fingerprinting during the inspection. Employee will not return to work until fingerprint background check is received.

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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