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AUMC Child Development Center
6935 Columbia Pike
Annandale, VA 22003
(703) 256-5244

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Dec. 14, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed the following standard: physical plant, children's records, and medication.

Comments:
An unannounced monitoring inspection was conducted today. Observed 33 children directly supervised by 8 staff members. Ratios and supervision were in compliance. A sample of 2 children's records and 2 staff records were reviewed. The physical plant, medications, emergency supplies and procedures were also reviewed. The children were engaged in various activities, to include: circle time, Spanish class, free play, reading, and infant care. Areas of non-compliance are identified in this report. The exit interview was conducted with the Center Director. Inspection conducted 10:00am-11:50am. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or anailim.dally@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-150-B
Description: Based upon observations made, a child's report of the physical examination and immunizations record did not meet requirements. Evidence: One of the two children's records reviewed contained a physical examination and immunizations record that were not signed by a physician, his designee, or an official of a local health department (Child C; DOE 01/12/2015).

Plan of Correction: Administration will request an updated immunization record with physician's signature. All shot records will be reviewed to verify physician's signature.

Standard #: 22VAC40-185-60-A
Description: Based upon documentation reviewed, a child's record was incomplete. Evidence: One of the two children's records reviewed did not contain the address for two of the two emergency contacts, and verification of the child's age and identity (Child C; Date of enrollment (DOE) 01/12/2015).

Plan of Correction: Children's records will be reviewed and updated by parents to ensure all emergency contacts contain address, age and idenity [sic]

Standard #: 22VAC40-185-70-A
Description: Based upon documentation reviewed, a staff record was incomplete. Evidence: One of the two staff records reviewed did not contain documentation that two or more references were checked before employment (Staff A; Date of hire (DOH) 08/03/2015).

Plan of Correction: All staff references will be complete by...

Standard #: 22VAC40-185-290-3
Description: Based upon observations made, electrical outlets did not have protective covers. Evidence: 1) An electrical outlet in the two's classroom located by the 'art board' was missing one of the two required protective covers. 2) An electrical outlet in the two's classroom by the sink area was missing one of the two required protective covers.

Plan of Correction: Electrical outlet covers were replaced on the same day of the monitoring inspection. Staff will be reminded to check daily.

Standard #: 22VAC40-185-510-C
Description: Based upon documentation reviewed, a child's medication did not have a written authorization form from the child's parents and physician. Evidence: A long term medication (EpiPen) did not have an authorization form from the child's parents and the child's physician. The authorization form provided for review belongs to Child E's sibling.

Plan of Correction: Parents were notified of the incorrect form. Parents notified the doctor and the correct form was turned in completed by physician.

Standard #: 22VAC40-185-510-E
Description: Based upon a review of medications, a medication was not labeled with the child's name. Evidence: One medication (Children's Benadryl) was not labeled with the child's name (Child D).

Plan of Correction: The child's name written on the medication on the day of the monitoring visit- meds will be reviewed regularly to ensure proper labeling.

Standard #: 22VAC40-185-550-M
Description: Based upon documentation reviewed, written records of children's injuries were incomplete. Evidence: 1) Two of the four injury/accident reports reviewed did not contain how the parent was notified of the injury. 2) Three of the four injury/accident reports reviewed did not contain the date and time when parents were notified of the injury.

Plan of Correction: Staff will be retrained on how to complete Injury/Accident Reports and reminded that all sections must be completed.

Standard #: 22VAC40-185-560-G
Description: Based upon observations made, food brought from home was not dated. Evidence: 1) One food pouch, one food container, a bag of crackers, and a bag of veggies were not dated in the infant room (Child A). 2) One food container and one fruit cup were not dated in the infant room (Child B).

Plan of Correction: Date was added to the food items on 12/14. Parents will be reminded in writing of proper labeling procedures and staff will check on a daily basis to ensure date is included.

Standard #: 22VAC40-185-570-E
Description: Based upon observations made, prepared infant formula was not dated and labeled with the child's name. Evidence: A bottle in the infant room was not dated and labeled with the child's name.

Plan of Correction: The formula and bottle were corrected w/ name and date on 12/14. Parents will receive a written reminder of proper labeling procedures and staff will check daily to ensure complete.

Standard #: 22VAC40-191-40-D-1-C
Description: Based upon documentation reviewed, background checks were not repeated within the allowable three year time frame. Evidence: One of the two staff records reviewed did not have current background checks. Staff B did not have a current criminal history check (CRC), search of registry (CPS) check, and sworn statement or affirmation (SDS). Last CRC was dated 01/26/2012, last CPS was dated 01/27/2012, and last SDS was dated 11/16/2011.

Plan of Correction: All expired background checks will be renewed; Administration will review documentation monthly to ensure all background checks are kept current.

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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