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Claudia Roncal
20839 Blythwood Court
Ashburn, VA 20147
(703) 282-8655

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: July 9, 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.
22VAC40-80 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 Licensure and Registration Procedures

Technical Assistance:
As discussed, infants are required to be assisted with relocating to a new area every 30 minutes. Please submit your renewal application prior to the expiration of the license.

Comments:
An unannounced Renewal inspection was conducted this date. A total of 11 children in care (31pts) with Provider and 1 Assistant. When the Inspector arrived, the children were completing a painted project at the table, some were playing in the play area and two infants on site. A total of 9 children's records, all household records and all staff records were reviewed today. Previous violations from the last inspection in April were reviewed, and two out of the 3 violations remain uncorrected. Non-compliance found regarding documentation in children's records. Discussed the importance of correcting the violations found during inspections. Background checks for a new hire was not obtained and records for 3 children were not maintained. Some physical plant violations found that pose a risk to the children in care. Increased licensing inspections will be necessary to determine improvement in compliance with State Regulations. This inspection began at approximately 9:45am and ended at 12:25pm. Please email me at: lisa.hudson@dss.virginia.gov with questions.

Violations:
Standard #: 22VAC40-111-750-B
Description: Based on observation of the diapering area, one topical ointment was accessible to children in care. Evidence: One topical ointment was found in a cubby within reach of children.

Plan of Correction: This ointment was secured immediately

Standard #: 22VAC40-111-780-B
Description: Based on a review of 9 children's records, an annual review of emergency contacts was not completed for 2 children. Evidence: Child #4 and #5's last review of emergency contacts with parents was in February and April 2018. This was cited during the last inspection and remains uncorrected.

Plan of Correction: I will audit all records and ensure that all documentation is reviewed and documented.

Standard #: 22VAC40-111-120-A
Description: Based on review of staff records, one staff record was not maintained. Evidence: Staff #2 was on site providing care. A staff record was not found for Staff #2.

Plan of Correction: Staff #2 was a previous employee and recently returned. A complete record will be established for this staff.

Standard #: 22VAC40-111-60-A
Description: Based on review of children's records, 3 children's records were not maintained. Evidence: Child #2, #8 and #9 was present during the inspection. A record for each of these children was not found.

Plan of Correction: Two children were here temporarily and one record was not returned from the parent as yet. A complete record will be maintained for each.

Standard #: 22VAC40-111-60-B
Description: Based on a review of 9 children's records, a record was found incomplete. Evidence: Child #1's record did not maintain the medical insurance number for this child. A work address for one parent was not maintained for Child #1.

Plan of Correction: I will obtain this information from the parent today.

Standard #: 22VAC40-111-70-A
Description: Based on review of children's records, written information was not provided to parents before their child's first day of attendance. Evidence: Child #3 began care on 5/13/19. The Provider's medication administration policy, emergency preparedness plan and information to parents that included the presence of pets, discipline policy, custodial rights, suspected abuse and neglect, notification of communicable diseases and the Department's website was not provided in writing to Child #3's parent.

Plan of Correction: I will complete the forms and have the parent review and sign.

Standard #: 22VAC40-111-80-B
Description: Based on review of children's records, verification of proof of identity was not completed. Evidence: Provider did not document how the verification of identity was verified for Child #1. Provider did not sign the verification of identity for Child #3.

Plan of Correction: I will complete this documentation today.

Standard #: 22VAC40-111-90-A
Description: Based on review of children's records, immunizations were not obtained prior to enrollment. Evidence: The provider did not obtain immunizations prior to enrollment for Child #2, #3, #8 and #9.

Plan of Correction: I will obtain documentation of immunizations from each of these children except for Child #2. Child #2's immunizations were maintained but received after start date.

Standard #: 22VAC40-111-90-C
Description: Based on a review of children's records, additional immunizations were not obtained. Evidence: Child #6 and #7's last documented immunizations were dated 8/2018. Both of these children are under the age of 2 years. Additional immunizations are required every six months for children under the age of two.

Plan of Correction: I will request the immunizations from the parent today.

Standard #: 22VAC40-111-140-B-3
Description: Based on a review of staff records, Provider does not have current certification in CPR/First Aid. Evidence: The provider's certification for CPR and First Aid training expired in August 2018. This remains repeated and uncorrected from the April licensing inspection.

Plan of Correction: I will obtain this certification as soon as possible.

Standard #: 22VAC40-111-180-A
Description: Based on household record review, a TB screening was not obtained every 2 years. Evidence: Household member #1's last documented TB screening is dated 6/2016.

Plan of Correction: This household member will obtain a TB screening this week.

Standard #: 22VAC40-111-280
Description: Based on observation of the kitchen area, cleaning agents were found accessible to children. Evidence: Cleaning agents located in an unlocked cabinet under the kitchen sink was accessible to children.

Plan of Correction: I will removed these cleaning products immediately and will secure the cabinet.

Standard #: 22VAC40-111-430-C
Description: Based on observation of the programming area, children over the age of two have access to stairs without a protective barrier. Evidence: A protective barrier/baby gate was not found at the stairs leading to the second floor.

Plan of Correction: We will secure this area today.

Standard #: 22VAC40-111-520-C
Description: Based on observation of the crib room, 2 out of the 3 cribs used have mattresses that do not fit snugly. Evidence: Two cribs used by infants in care today have mattresses that allow for more than two fingers between the mattress and the crib.

Plan of Correction: I will no longer use these two mattresses.

Standard #: 22VAC40-111-530-B
Description: Based on observation of the crib room, 3 cribs do not have tight fitting bottom covers. Evidence: All three cribs used by infants in care today do not have tight fitting sheets over the mattresses.

Plan of Correction: I will no longer use these sheets. I will only use tight fitting sheets for cribs.

Standard #: 22VAC40-111-540-B
Description: Based on observation of the programming area, an infant walker was being used. Evidence: When the Licensing Inspector arrived, one child was in an infant walker. Infant walkers are not to be used.

Plan of Correction: I will no longer use this walker.

Standard #: 22VAC40-191-60-B
Description: Based on review of staff records, a Sworn Statement was not obtained for one staff. Evidence: Staff #2 was hired on 5/24/19. A Sworn Statement was not completed prior to hire.

Plan of Correction: Staff #2 will complete this today.

Standard #: 63.2-1720.1-B-2
Description: Based on review of staff records, background checks were not completed. Evidence: Staff #2 was hired on 6/24/19. A fingerprint background check was not completed prior to hire.

Plan of Correction: Staff #2 will schedule fingerprinting today.

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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