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Edna Squire
4136 41st Street N.
Arlington, VA 22207
(703) 812-8133

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: July 1, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSING PROCESS.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs
22VAC40-665 General qualifications
22VAC40-665 Special Care Provisions & Emergencies

Technical Assistance:
On the importance of Annual Training

Comments:
An unannounced renewal inspection was conducted 7/1/2019 from 10:00am until 1:45pm with the substitute provider on site. There were 6 children (21 points) with 2 caregivers. Children's/caregivers/householdmembers records were reviewed. The entire physical plant was also inspected. The children were observed during diaper changing, free play and lunchtime. Lunch consisted on Pasta with vegetables, fruit and milk. The children were also observed preparing for nap, listening to stories. Areas of non compliance were identified in the violation notice. Please contact me if you have any questions at Tanya.Johnson1@dss.virginia.gov or 571.423.6392.

Violations:
Standard #: 22VAC40-111-800-A
Description: Based on observation and conversation with the substitute provider, the written Emergency Preparedness and Response Plan completed. Evidence: On the day of inspection the Emergency Preparedness plan could not be located in the home by the substitute provider.

Plan of Correction: The written Emergency Preparedness and Response Plan was placed in the folder with other redords

Standard #: 22VAC40-111-940-B
Description: Based on observation, the family day home did not have an operable thermometer available to monitor freezer compartment temperatures. Evidence: There was not a thermometer in the freezer.

Plan of Correction: Thermometer was placed in the freezer.

Standard #: 22VAC40-111-960-E
Description: Based on observation, the family day home failed to ensure that bottles will be labed with the child's full name and the date, if more than one infant is in care. Evidence: Three of the six bottles in the refrigerator were not labeled with the child's name and the date.

Plan of Correction: Parents were reminded to label bottles with the child's name and date.

Standard #: 22VAC40-111-120-A
Description: Based on records review, the provider failed to maintain up to date records for each care giver. Evidence: 1) Assistant #1, #2 and #3 are missing references. 2) The Provider, Assistant #1, #2 and #3 are missing Annual Training 3) Assistant #2 is missing a date of hire from her file.

Plan of Correction: Records will be updated and annual training will be completed.

Standard #: 22VAC40-111-60-A
Description: Based on records review, the family day home failed to maintain up to date records for each child enrolled. Evidence: 1) Child #1's file does not have work addresses for his mother and father; the files also does not second emergency contact information. 2) Child#2's file shows the first day of attendance was 1/2/19; however, the date of the first immunization records is 1/15/2019. 3) Child #3's file shows the first day of attendance was 2/5/18; however, the date of the first immunization records was 10/11/18. 4) Child #6's file is missing medical insurance policy number.

Plan of Correction: All records will be updated.

Standard #: 22VAC40-111-680-A
Description: Based on observation, the family day home failed to ensure that staff practice hand washing as required. Evidence: Assistant 2 did not wash her hands after changing children's diaper and before placing the child in infant carrier.

Plan of Correction: Assistant 2 was reminded to wash the chidren's hands with soap and warm water, not wipes

Standard #: 22VAC40-111-680-B
Description: Based on observation, caregivers failed to ensure that children's hands were washed with liquid soap and warm running water before eating and after diapering. Evidence: 1) The children's hand were not washed after diapering. 2) The children's hands were not washed before lunch.

Plan of Correction: Assistants were reminded to wash the children's hands with soap and warm water, not wipes

Standard #: 22VAC40-665-230-D
Description: Based on record review, the family day home failed to ensure that orientation training for caregivers will be completed on specific topics prior to the caregiver working alone with children and within seven days of the date of employment.

Plan of Correction: Documentation of orientation training was placed in files.

Standard #: 22VAC40-665-370-E
Description: Based on observation, the family day home failed to ensure that the diapering surface was cleaned and sanitized after each use. Evidence: The diaper surface was not cleaned with soap and water; dried. then sprayed with a sanitizing solution and allowed to air dry.

Plan of Correction: Assistant was reminded to use the solution provided to clean and sanitize the diapering surface.

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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