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Andrea Cotman
2015 S. Monroe Street
Arlington, VA 22204
(703) 861-4113

Current Inspector: Nancy Radcliffe

Inspection Date: Feb. 25, 2019

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
22VAC40-80 THE LICENSE.
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Comments:
An unannounced mandated Renewal inspection was started on January 5, 2019 and again today from 10:30 am to 1:00 pm. There were 9 children (22 points) and 2 caregivers present. Children were observed playing with balls, building with magnetic colored blocks, dancing with ribbons, reading books and having lunch (fish sticks, carrots, apple slices and milk). Reviewed 3 children's files, 2 staff files, emergency evacuation log, attendance, menu, medications and authorizations, and physical plant. Violations of the standards have been recorded on the Violation Notice. Any questions or concerns regarding this inspection, please contact Licensing Inspector, Georganne Buccine (georganne.buccine@dss.virginia.gov)

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on record review, children's prescription medications did not have written authorization from the parent. Evidence: Child#1 did not have written authorizations for Emergency medications signed by parent or physician.

Plan of Correction: I will get permission from the parent

Standard #: 22VAC40-111-700-C
Description: Based on medication review, expired medication was not returned to the parent for disposal. Evidence: Child #1 medication (Epi Pen expired on 8/18).

Plan of Correction: I will ask the parent for new Epi pens.

Standard #: 22VAC40-111-750-A
Description: Based on record review, when topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent are used, written parental permission was not obtained. Evidence: Child#2 and Child#3 did not have documentation of written permission for topical skin products.

Plan of Correction: I will get permission from the parents

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were incomplete. Evidence: Child #2 and Child#3 were missing written authorization if the child is taken off the premises of the family day home.

Plan of Correction: I will have the parent's sign a permission slip

Standard #: 22VAC40-111-170-A
Description: Based on record review, provider did not obtain current report of Tuberculosis Screening for each caregiver every two years. Evidence: Provider and Staff#1 were missing documentation of current screening for TB. Both expired May 2017.

Plan of Correction: I am sure I have the documentation somewhere and will send you a copy.

Standard #: 22VAC40-111-210-A
Description: Based on record review, caregivers have not completed 16 hours of annual training. Evidence: Provider and Staff#1 did complete 16 hours of training. Provider is missing 12.5 hours, Staff#1 is missing 16 hours.

Plan of Correction: We will be taking training this month.

Standard #: 22VAC40-111-220-A
Description: Based on record review, Provider has not satisfactorily completed the Medication Administration training required to administer prescription medication. Evidence: Interview with Provider ravelled she has not completed the MAT training. Currently there is a child enrolled and attending with prescription medication.

Plan of Correction: I will take the class

Standard #: 22VAC40-111-680-B
Description: Based on observation, provider did not ensure children's hands were washed before eating. Evidence: Children were observed eating lunch without washing hands.

Plan of Correction: I will make sure to do that

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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