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Tegist Hailu
43057 Battery Point Place
Leesburg, VA 20176
(703) 966-5247

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: Sept. 19, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Comments:
An unannounced monitoring inspection was conducted today.
There were 11 children present (25 points) with 2 caregivers.
Children were observed washing hands eating lunch, and laying with a wide variety of toys and games.
Provider's certification in first aid and CPR expired on 9/18/23.
3 child and 2 caregiver records were reviewed.
See Violation Notice for non-compliances cited today.
First aid supplies, emergency supplies, menu and bathroom supplies were all in compliance today.

If you have any questions regarding this inspection, you may contact me aa (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
LI was present today from 10:51AM- 11:35 AM.

Violations:
Standard #: 8VAC20-800-830-C
Description: Based on a review of documentation, the provider did not maintain documentation of monthly emergency evacuation drills that were practiced.
Evidence:
No emergency evacuation drills have been documented since March 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-B
Description: Repat Violation
Based on a review of records child record were incomplete.
Evidence:
3 child records were reviewed.
1. 3 of 3 reviewed were missing documentation of viewing proof of birth. Signature of person viewing the document, date document was viewed. (Children 1, 2, 3)
2. Signed Emergency care authorization. (Child 2)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-70-B
Description: Repeat Violation
Based on a review of records, child records did not include acknowledgement of all policies and procedures.
Evidence:
3 child records were reviewed.
1. 2 of 3 records did not include a completed decision to administer medication policy. While the form is signed, there was no policy was identified.
(Children 1, 2)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-140-B-3
Description: Based on a review of records, one caregiver record did not contain documentation of current first aid and Cardiopulmonary resuscitation (CPR).
Evidence:
Caregiver 1's record contain an expired First aid and CPR certification. Certification expired 9/18/23.

Plan of Correction: Not available online. Contact Inspector for more information.

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.

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