VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Nebiat Gebregziabher
2484 Windbreak Drive
Alexandria, VA 22306
(703) 859-2659

Current Inspector: Diana DeSilva (571) 596-3656

Inspection Date: Aug. 26, 2022

Complaint Related: No

Areas Reviewed:

X 8VAC20-800 Administration X 8VAC20-800 Personnel X 8VAC20-800 Household Members X 8VAC20-800 Physical Health of Caregivers and Household members X 8VAC20-800 Caregiver Training X 8VAC20-800 Physical Equipment and Environment X 8VAC20-800 Care of Children X 8VAC20-800 Preventing the Spread of Disease X 8VAC20-800 Medication Administration X 8VAC20-800 Emergencies X 8VAC20-800 Nutrition X 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS

Technical Assistance:

Consulted on medication policies, model forms and enforcing the home sick policy. Any medication on-site longer than 10 days needs the physician signature.

Comments:

An unannounced monitoring visit was conducted today. Four children were in care with one caregiver for eight points which is within ratios for supervision. Observed children transitioning from lunch (pasta with meat sauce, milk and strawberries), preparation for rest time, diapering and hand washing, free play and reading books. Reviewed one child record and provider training, emergency preparation and attendance. Home has dedicated space on the lower level of the the townhouse with 2 rooms for care and an updated outside play area. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Ann Dramstad, Children?s Inspector Office of Child Care Health and Safety Division of School Readiness 703-314-0860 ann.dramstad@doe.virginia.gov

Violations:

Standard #:	8VAC20-800-700-A
Description:	Based on observation and provider statement, no written authorization was available for 2 medications. Evidence" Child #1 has 2 emergency medications on-site and no written authorization form completed by the parent or guardian.
Plan of Correction:	The provider will give the parent the 2 authorization forms to be completed by the parent and the physician.
Standard #:	8VAC20-800-710
Description:	Based on observation, a prescription medication is not in the original container with the pharmacy label identifying the child, dosage, route of administration and frequency. Evidence: The medication for Child #1 was loose in a ziplock bag and did not have the corresponding pharmacy label.
Plan of Correction:	The provider will request the parent bring in the missing box or label from the pharmacy with all required information.