VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Esraa Al Khairi
8202 Bucknell Drive
Vienna, VA 22180
(703) 876-6292

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: March 26, 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. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

We discussed annual training requirements, monthly fire drills; and locked areas.

Comments:

An unannounced renewal inspection was conducted from 10:15 am - 1:00 pm. There were six children present plus the provider's son for 18 points. I observed a short circle time where the weather and other concepts were discussed; a stamping art project and lunch. I also watched child four children dance in dress up dresses and hats. We also discussed a new child who could not be soothed and strategies to work with the family. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-830-C
Description:	Based on a review of records today, there were no emergency evacuation drills conducted in January and February 2019.
Plan of Correction:	I will do more next month.
Standard #:	22VAC40-111-60-B
Description:	Based on a review of children's records today, there were some required items missing. Evidence: There were no emergency contacts listed as required for Child # 4, who began care 1/19; and no addresses of emergency contacts for Child # 1.
Plan of Correction:	I will talk to the parents today.
Standard #:	22VAC40-111-70-A
Description:	Based on a review of a sample of children's records today, there were some policies not signed before the first day of care as required. Evidence: Child # 1 did not have a signed Notice of Liability Insurance; and Child # 4 did not have a signed Medication Policy.
Plan of Correction:	I will have the parents sign these.
Standard #:	22VAC40-111-130
Description:	Base on a review of records today, there were not all paperwork was completed for the assistant. Evidence: There was no written documentation of reference checks; assistant's form, or emergency contacts.
Plan of Correction:	Her first day was today. She will fill in the forms and I will have the references written down.
Standard #:	22VAC40-111-240-A
Description:	Based on observation during today's inspection, there was an outdoor area that was not maintained in a safe condition. Evidence: The top of the metal railing at the bottom of the stairway to the playground had a sharp edge when touching the surface.
Plan of Correction:	We will cover it with duct tape until it can be replaced.
Standard #:	22VAC40-111-250-A
Description:	Based on observation during today's inspection, there were some hanging items not out of reach of children under age five years. Evidence: There were some dangling cords from the ceiling cameras; blind strings that had not been put out of reach, and wires from charging phone cords and the television in areas where children were present.
Plan of Correction:	The cords were taped during the inspection. Other things will be fixed today.
Standard #:	22VAC40-111-280
Description:	Based on observation during today's inspection, some cleaning agents were not in area inaccessible to children. Evidence: In the children's bathroom, some cleaners were stored in an unlocked cabinet under the sink today.
Plan of Correction:	They will always be locked.
Standard #:	22VAC40-111-480-B
Description:	Based on observation today, there was a toy available to the children that was not appropriate to age of the children present. Evident: A toy fire engine meant for older children was present that had small pieces that could easily break off and present a choking hazard.
Plan of Correction:	It was removed during the inspection.
Standard #:	22VAC40-111-480-D
Description:	Based on observation during today's inspection, a piece of play equipment was not maintained in accordance with the manufacturer's instructions. Evidence: A portable plastic climbing structure had tot-sized stairs but no slide attached to the equipment today.
Plan of Correction:	It will be removed.