VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Elaine Whitehurst
13174 Diamond Mill Drive
Herndon, VA 20171
(703) 793-0460

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: Dec. 20, 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 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Inspector and caregivers discussing carrying children, time spent in confined spaces and keeping infants and toddlers safe during programming.

Comments:

An unannounced renewal inspection was conducted today, December 20, 2018 from 8:50am-10:40am. There were 8 children (16 points) directly supervised by 2 staff. The home, 2 staff records, 3 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. 3 medications on site today. Children were observed playing freely, building blocks, making a track and eating breakfast. Breakfast served today was cereal and milk. There was a supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-920
Description:	Based on record review, the provider did not have an updated menu. Evidence: The menu posted was for the month of November 2018.
Plan of Correction:	I will post a current menu.
Standard #:	22VAC40-111-60-B
Description:	Based on observation, the center did not ensure all child's files were complete. Evidence: Child 2 is missing two parent work phone numbers. Child 3 is missing an annual update of emergency contacts.
Plan of Correction:	I will get information today.
Standard #:	22VAC40-111-540-A
Description:	Based on observation, an infant feeding table was not used according to the manufacturer's instructions. Evidence: While preparing for breakfast, Caregiver A picked up the feeding table while the child was strapped in to move it. The back of the feeding table snapped off and the child fell backwards and began crying.
Plan of Correction:	We will make sure to take the child out of the chair before moving the feeding tables.
Standard #:	22VAC40-111-600-B
Description:	Based on observation, an infant spend more than 30 minutes of consecutive time during waking hours confined to a feeding table. Evidence: At 9:00am, Child 1 was placed in a feeding table with no toys. The inspector placed a toy on the tray in front of the infant. At 9:42am, the child was fed while in the feeding table. Child 1 finished eating at 10:00am and remained in the feeding table. At 10:10am, the child was removed from the feeding table. Child 1 was in the feeding table for approximately 70 minutes 20 minutes of which included eating breakfast.
Plan of Correction:	The child will only sit in the feeding table during feeding times.
Standard #:	22VAC40-111-680-B
Description:	Based on observation, the provider did not ensure all children's washed their hands with soup and running water after bathrooming. Evidence: After using the bathroom, the child went to go play and did not wash hands.
Plan of Correction:	The inspector reminded the child to wash hands and the provider and the child washed hands.