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Le Lam
42025 Foley Headwaters Street
Aldie, VA 20105
(703) 327-9618

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Jan. 6, 2020

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 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.
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Technical assistance was offered regarding immunization records for children in care.

Comments:
An unannounced monitoring inspection was conducted from 10:25 am through 11:40 am. There were 10 children (27 points) with 2 caregivers present. A total of 5 children's records, 2 caregiver's records and 1 household member's record was reviewed. The children were engaged in the following: toy play, bathroom breaks, hand washing, and eating lunch. The lunch menu included chicken breast with tortellini, pears, spinach and milk. Medications were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at mahrukh.aziz@dss.virginia.gov or 571-835-4718.

Violations:
Standard #: 22VAC40-111-710
Description: Based on observation, prescription medication was not maintained in in the original and labeled container.
Evidence: Medications for Child # 2 and Child # 3 did not have the prescription label and were not labeled with the children's names.

Plan of Correction: I will ask the parents to bring in the prescription label and make sure the medications are labeled.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain subsequent tuberculosis (TB) screenings for household members every two years.
Evidence: Household Member # 1's most recent TB screening expired on 8/12/19. An updated TB screening was not obtained.

Plan of Correction: An updated TB will be obtained this week.

Standard #: 22VAC40-111-540-B
Description: Based on observation, an infant walker was being used in the family day home.
Evidence: Child # 1 (6 months old) was observed using an infant walker.

Plan of Correction: The walker will no longer be used.

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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