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Silvia Sternberg
20599 Broadnax Place
Ashburn, VA 20147
(703) 932-6472

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: July 30, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
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

Technical Assistance:
Reminder that each caregiver must complete 16 training hours per year.

Comments:
An unannounced monitoring inspection was conducted today between 9:00am and 12:00pm. There were 6 children (16 points) present with 2 caregivers. The children were observed playing with wooden puzzles, riding toys, playing outside and an infant was observed playing with caregiver, bottle feeding and nap. The physical plant, 2 caregivers files, 7 children's files and 2 household members files, evacuation log, attendance log, emergency supplies, menu's and cribs were inspected. Areas of non compliance are cited in the Violation Notice. If you have any questions, please contact me at Tanya.Johnson1@dss.virginia.gov or at 571.423.6392.

Violations:
Standard #: 22VAC40-111-710
Description: Based on record review and interview with provider, the provider failed to obtain written authorization from a parent to administer medication. Evidence: Child # 7 has emergency medication at the family day home for a diagnosed condition. The provider does not have written authorization from the parent to administer.

Plan of Correction: I will not administer medication.

Standard #: 22VAC40-111-960-E
Description: Based on observation, the family day home failed to ensure that bottles are labeled with the child's full name and the date. Evidence: Observed bottles for Child # 3 was not labeled with child's name and date.

Plan of Correction: I will remind parents to label and date bottles.

Standard #: 22VAC40-111-100-A
Description: Based on a review of seven children's records, 4 of 6 records did not have documentation of a physical within 30 days of attendance. Evidence: Child #2, #3, #4 and #6's files did not have documentation of a physical within 30 days of the first day of attendance.

Plan of Correction: I will get proof of physicals from parents.

Standard #: 22VAC40-111-60-A
Description: Based on review of seven children's records, 2 of 7 records were incomplete. Evidence: Child #5 and #7's files do not have documentation of the Names of persons other than the custodial parents who are authorized to pick up the child.

Plan of Correction: I will get from parents.

Standard #: 22VAC40-111-90-A
Description: Based on a review of seven children's files, 4 of 7 children did not have proof of immunization by the first day of attendance. Evidence: Child #2, #4, # 5 and #6's files do not have documentation of immunizations by the first day of attendance.

Plan of Correction: I will get immunization for first day from parents

Standard #: 22VAC40-111-220-A
Description: Based on caregiver record review, the provider failed to ensure that prescription medication will be administered by a caregiver who has satisfactorily completed a training program for the purpose or developed or approved by the Board of Nursing and taught be a registered nurse, licensed practical nurse, doctor of medicine or osteopathic medicine or pharmacist or is licensed by the Commonwealth of Virginia to administer medication. Evidence: Caregiver #1 or #2 are not Medication Administration Training Certified.

Plan of Correction: I will return medication to parents.

Standard #: 22VAC40-111-280
Description: Based on observation, the family day home failed to ensure that potentially poisonous substances will be stored in areas inaccessible to children. Evidence: Cleaning wipes were in an area accessible to children.

Plan of Correction: Removed 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. To find programs participating in Virginia Quality, click here.

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