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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:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, the provider failed to obtain written parents authorization for the use of topical skin products.

Evidence:
Child #1 and #3's records did not contain documentation of parental authorization for the use of topical skin products.

Plan of Correction: I will have parents sign authorization and put form in child's file.

Standard #: 22VAC40-111-100-A
Description: Based on a review of children's records, the provider failed to obtain documentation of a physical by the 30th day of attendance. First day of attendance 1/29/2019.

Evidence:
Child #2's record does not have documentation of a physical by the 30th day of attendance.

Plan of Correction: I will request information from parent.

Standard #: 22VAC40-111-120-B
Description: Based on a review of caregiver records, the provider failed to ensure that caregiver records contain required documentation.

Evidence:
Caregiver #2's record did not contain documentation of two references.

Plan of Correction: I will have caregiver submit references.

Standard #: 22VAC40-111-60-A
Description: Based on a review of children's records, the provider failed to ensure that records are up to date for all children enrolled in the family day home.

Evidence:
1) Child #2 and #3's records do not contain documentation of an annual update of emergency information.
2) Child #3 and #4's records do not contain work addresses for both parents.
3) Child #3 does not have documentation of a second emergency contact.

Plan of Correction: I will get information from parents and put in each child's record.

Standard #: 22VAC40-111-90-A
Description: Based on a review of children's records, the provider failed to obtain documentation of immunizations on the first day of attendance.

Evidence:
Child #2's record does not have documentation of immunizations on the first day of attendance.

Plan of Correction: I will request information from parent.

Standard #: 22VAC40-111-90-C
Description: Based on a review of children's records, the provider failed to obtain documentation of additional immunization once every six months for a child under the age of two.

Evidence:
1) Child #3 is 14 months old. The most recent update was 3/21/19.
2) Child #4 is 17 month old. The most recent update was 9/20/2019.

Plan of Correction: I will request forms from parents.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to keep areas and inside maintained in safe and operable condition.

Evidence:
1) Dust on the wall above the changing table.
2) The ceiling fan in the kitchen had an accumulation of dust.
3) The hand rail going from the dining room to the play area (living room) was unstable.,

Plan of Correction: 1) Provider states that top shelf is used to store first aid kits and items not used on a daily basis. When the first aid kit was removed for inspection, it was noted that dust had accumulated on the top shelf. This was corrected during inspection.
2 )Dust on kitchen ceiling fan - corrected during inspection.
3) Dining room floor is in the process of being replaced, rail will be secured after floor is completed.

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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