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Mary Oforiwaa
4129 Buckman Road
Alexandria, VA 22309
(703) 341-6621

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: July 25, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
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:
Consultation was given on the new background requirements for finger printing, a revised Sworn Disclosure Statement for new staff hired after 7/1/2017 and requesting out of state Central Registry checks for staff who have lived outside the State of VA 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. VDSS will be paying for initial child care fingerprint checks until 9/20/18. Each facility must establish a point of contact with DSS. All questions regarding facility codes should be directed to OBI at 804-726-7884. Eligible letters will be sent out by emails and staff may not work with children (ratios or supervision) or be on site until a completed letter is received. Please read, review and respond to all correspondences regarding the fingerprint roll out.

Comments:
An unannounced monitoring inspection was conducted today from 10:43am-3:00pm. There were 7 children (28 points) supervised by 2 direct care staff. The home, 2 caregiver records, 5 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing with puzzles, musical instruments, and listening to music. Diapering and hand-washing procedures were also observed. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on record review, 1 caregiver record did not contain all of the required information. Evidence: Caregiver B's (date of hire: 7/2013) did not contain documentation that two or more references were contacted as to character and reputation as well as competency were checked before employment.

Plan of Correction: I will call them.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 5 of 5 children's records did not contain all of the required information. Evidence: 1. Child #1 (start date: 11/18/2014), Child #4 (start date: 9/29/2015), Child #5 (start date: 9/1/2015), and Child # 6's (start date: 7/24/2017) records did not contain documentation of proof of identity. 2. Child #1 and Child #5's records did not contain documentation of dad's work telephone number. Child #6's record did not contain documentation of mom and dad's work telephone number. 3. Child #5's record did not contain documentation of a complete address for the second emergency contact. 4. Child #5's record did not contain documentation of medical insurance. 5. Child #6's record did not contain documentation of a physical completed by a physician. 6. Child #5 and Child #6's records did not contain documentation of a medication authorization form completed by the parent. 7. Child #2 (start date: 5/22/2017) and Child #4's (start date: 9/29/2015) records did not contain documentation of parental annual review of emergency contact information.

Plan of Correction: I will contact the parents and obtain all missing information by the end of this week.

Standard #: 22VAC40-111-170-A
Description: Based on record review, 1 of 3 household member records did not contain documentation of a current report of tuberculosis screening. Evidence: Household member B's record did not contain documentation of a TB screening.

Plan of Correction: I will have her get it as soon as possible.

Standard #: 22VAC40-111-180-A
Description: Based on record review, 2 of 2 caregiver records did not contain current reports of tuberculosis every two years from the date of the first screening. Evidence: 1. Caregiver A's record contains documentation of a TB screening dated 1/19/2016 (expired 1/19/2016). 2. Caregiver B's record contains documentation of a TB screening dated 12/28/2015 (expired 12/28/2017).

Plan of Correction: We will get them by this Friday.

Standard #: 22VAC40-111-320-B
Description: Based on observation, 3 electrical outlets did not contain child-resistant protective covers. Evidence: 2 electrical outlets on the bottom wall by the window, and 1 electrical outlet on the bottom wall between the cribs, did not contain child-resistant protective covers.

Plan of Correction: Corrected during time of inspection.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, 2 of 3 household member records did not contain documentation of current central registry and sworn statement background checks. Evidence: 1. Household member A's record contained documentation of a central registry background check dated 9/1/2011 (expired 9/1/2016). 2. Household member B's record did not contain documentation of a central registry background check and a sworn statement or affirmation.

Plan of Correction: I will send them this week.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review, the provider did not obtain a central registry background check for a household member after becoming 14 years old. Evidence: Household member C's (date of birth: 4/18/2003) record did not contain documentation of a central registry background check.

Plan of Correction: I will send it this week.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, 1 of 2 caregiver records did not contain documentation of a central registry finding. Evidence: Caregiver A's (date of hire: 1/1996) record did not contain documentation of a central registry finding.

Plan of Correction: I will send it this week.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, required documents related to the terms of the license were not posted on the premises of the facility. Evidence: The most recent inspection notice was not posted.

Plan of Correction: I will put today's up.

Standard #: 63.2-1721.1-B-2
Description: Based on record review, 2 of 3 household member's records did not contain documentation of submitted criminal history records. Evidence: Household member A and Household member B's records did not contain documentation of submitted criminal history/fingerprinting background checks.

Plan of Correction: I will contact OBI for updates.

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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