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Elizabeth Appiah
3349 Beechcliff Drive
Alexandria, VA 22306
(703) 347-7318

Current Inspector: Kimberly Sawyer (571) 835-0599

Inspection Date: May 31, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
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:
Licensing inspector discussed child abuse and neglect training and possible provisional license.

Comments:
An unannounced monitoring inspection was conducted today from approximately 12:30pm-2:50pm. There were 4 children (9 points) in the direct care and supervision of 1 caregiver. A sample of 2 children?s records and 1 caregiver's record were reviewed. The children were observed playing in the play room. Zero new caregivers have been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not annually review with the parent the emergency contact information to ensure the information is correct. Evidence: The file of Child B was last reviewed 05/02/2017.

Plan of Correction: Parent will be asked to review child file and correct any necessary information.

Standard #: 22VAC40-111-800-B
Description: Based on observation, the provider did not review the emergency plan at least annually. Evidence: The emergency plan was last reviewed 03/10/2018.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-830-A
Description: Based on record review, evacuation procedures were not practiced monthly. Evidence: Evacuation procedures were last practiced 07/16/2018.

Plan of Correction: Provider will conduct monthly evacuation procedures.

Standard #: 22VAC40-111-830-B
Description: Based on record review, shelter-in-place procedures were not practiced a minimum of twice per year. Evidence: There were no shelter-in-place procedures practiced in 2018.

Plan of Correction: Provider will practice and record shelter-in-place required for the year.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical exam for each child. Evidence: Child B did not have documentation of a physical exam on file.

Plan of Correction: Parents will be asked to provide update physical exam to be kept on file.

Standard #: 22VAC40-111-50-A
Description: Based on interview, the provider did not keep a written record of daily attendance each day. Evidence: Assistant A stated the attendance couldn't be found for May.

Plan of Correction: Provider will practice taking daily attendance starting with the month of June.

Standard #: 22VAC40-111-50-E
Description: Based on interview, the provider did not maintain records of attendance for at least two years. Evidence: Assistant A stated that the attendance records for April 2019 were available but May 2019 records could not be found.

Plan of Correction: Provider will maintain a weekly, daily attendance record.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were incomplete. Evidence: 2 of 2 children's records reviewed were missing required information. 1. Child A was missing the father's employer and employer phone number. 2. Child B was missing the father's employer phone number, the mother's employer and employer phone number, the addresses of 2 of 2 required emergency contacts, the phone number of one emergency contact, and medical insurance policy number.

Plan of Correction: Parents will be asked to complete child's record with all missing information.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation of immunization for each child. Evidence: Child B did not have documentation of immunization on file.

Plan of Correction: Parent will be asked to provide documentation of immunization.

Standard #: 22VAC40-111-240-A
Description: Based on observation, furnishings of the home were not maintained in a safe and operable condition. Evidence: The paint on walls of the main child care area was peeling.

Plan of Correction: Provider will paint over sections of wall where paint is peeling in main child care area.

Standard #: 22VAC40-111-320-A
Description: Based on observation, small appliances were not kept unplugged while not in use. Evidence: An air fryer, toaster, and blender were not in use and were plugged in. Small appliances were located in the kitchen.

Plan of Correction: Provider will unplug small appliances that are not in use during child care hours.

Standard #: 22VAC40-111-690-E
Description: Based on observation, a soiled disposable diapers were not disposed of. Evidence: A soiled disposable diaper was found on the changing table in the play room.

Plan of Correction: Provider removed soiled disposable diaper.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The findings of the inspection which occurred 08/2017 were posted. The last inspection occurred 11/2018.

Plan of Correction: Corrected during inspection.

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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