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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: Jan. 5, 2017

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.
63.2 General Provisions.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed the following standards: - Physical plant: ground settling under poured in place rubber surface that presents as possible trip hazard on toddler play area. Ground drops approximately 6-8? in area between shed and large climber. - Medications: the CDC should follow the center's policies for the administration of medication. - Nutrition: snacks available for children should not pose a chocking hazard; for example, pumpkin seeds. - All materials available for children need to be age appropriate. For example, puppets labeled "no recommended for children under 3 years of age" should not be available and accessible to children under the recommended age.

Comments:
A renewal inspection was conducted today in the Early Learning Programs (ELPs) and the Child Development Center (CDC). Ratios and supervision were in compliance in all three programs. A sample of 5 children's records and 5 staff records were reviewed in the ELPs programs. A sample of 2 staff records were reviewed in the CDC. Observed 186 in all three programs directly supervised by 36 staff members. The children were engaged in various activities, to include: infant care, feeding, free play, sensory table activity, playing alphabet bingo, story time, nap time, hand washing, and outdoor time. The physical plant, medications, emergency supplies and procedures were also reviewed. Areas of non-compliance are identified in this report. The exit interview was conducted with the ELPs Center Director. Inspection conducted 9:45am to 12:45pm. 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 #: 22VAC40-185-240-C
Description: Based upon documentation reviewed, program directors who work directly with children in the child development center (CDC) did not completed 16 hours of staff development trainings annually. Evidence: Staff A and B records did not have documentation of annual training for school year 2015-2016.

Plan of Correction: Training was completed but certificates were not available during visit. Documentation of training will be kept on site for at least two years in the future.

Standard #: 22VAC40-185-270-A
Description: Based upon observations made, areas and equipment of the center were not maintained in a clean, and safe condition. Evidence: 1) 10 of 12 naps had torn vinyl covers exposing the foam insert in the two's classroom. 2) Child C in the infant classroom was observed sleeping in a crib that did not have a tight fitting bottom sheet. The sheet was loose, bunched up around the child, and sticking through the side rail. [picture taken] 3) Window blind cords were low, looped, and accessible to children in Room 129. 4) Peeling paint was observed by the doorway in Room 128. 5) Peeling paint was observed in the reading corner of Room 123. 6) Plastic bags were stored in a cloth sleeve on the front door handle of Room 123, accessible to children. 7) Peeling paint was observed along back room wall / door way in Room 119. 8) A broken power outlet cover was observed in Room 119. 9) There was a gap at the top of the slide and platform in the upper playground. 10) Cracked toys were observed in the middle playground: 2 toy shovels, and 1 rake. 11) There was a gap at the top of the slide and platform on top of the yellow slide in the Spiderweb playground. 12) In the main hallway, there was two long pipes that were low and accessible to children, crumbling insulation.

Plan of Correction: 1) All nap mats have been replaced. 2) Loose fitting sheets have been removed and new tight ones purchased. 3) Cords have been secured high up and are inaccessible to children. 4 & 5) Touch up painting to be done in all areas. 6) Plastic bags have been removed and put in a locked cabinet. 7) Touch up painting to be done in all areas. 8) Outlet cover has been replaced. 9) Working with CPSI & playground maintenance company to resolve and fix. 10) Toys have been removed from playground. 11) We are working with Kompan to get a certificate of compliance and advice as to resolution. 12) Insulation being repaired/replaced.

Standard #: 22VAC40-185-280-B
Description: Based upon observations made, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) A total of 6 spray cleaning products were found in an unlocked cabinet over the kitchen sink in the infant classroom. 2) A spray air freshener was in an unlocked drawer under the diaper changing counter in the toddler classroom. 3) A spray cleaner was hanging above the diapering area in the toddler classroom. 4) A spray air freshener product was observed sitting on top of the paper towel dispenser and accessible to the children in the lobby area bathroom. 5) Two shaving cream cans were observed in Room 129 on a bookshelf. 6) A small bottle of goo gone was inside an unlocked yellow cabinet in Room 123.

Plan of Correction: 1) Spray cleaners are stored in a locked cabinet when not in use. 2) Spray air freshener has been stored in a locked cabinet. 3)Spray cleaner is stored in a locked cabinet when not in use. 4) Spray air freshener has been removed. 5) Shaving cream cans to be locked up when not directly being used. 6) Goo Gone will be stored in locked cabinet.

Standard #: 22VAC40-185-290-3
Description: Based upon observations made, electrical outlets did not have protective covers. Evidence: 1) One outlet in the infant nap room did not have a protective cover. 2) Two outlets in Room 123 under the fish tank did not have protective covers.

Plan of Correction: 1 & 2) Outlet protective covers have been installed.

Standard #: 22VAC40-185-360-A
Description: Based upon observations made and interview, activities for the toddler classroom in the CDC were not age and stage appropriate. Evidence: 2 of 12 children were observed sitting at a table in the toddler classroom while the rest of the children were on a walk elsewhere in the building and washing hands. Staff stated that these 2 children did not go with the group so that a staff person could stay in the classroom and get ready for lunch. The 2 children were not given toys to pay with. 1 of the 2 children was observed crying as he sat on the table with no activities.

Plan of Correction: All children will participate in all planned age and stage appropriate activities.

Standard #: 22VAC40-185-440-J
Description: Based upon observations made, crib spacing of occupied cribs on service side was not a minimum of thirty inches in the CDC. Evidence: 1) Child A and B were observed napping in the infant classroom in cribs side by side with a clearance between 16-24 inches. Additionally, multiple hazards were found to be blocking the path of travel to these cribs and between them. Child A's crib was most blocked with supplies and equipment. Staff stated that this is typically how they store items in the nap room, and that they were not aware of crib spacing requirements [photo taken]. 2) Child C was observed napping in his crib with a clearance of 14 inches at the widest point. Additionally, foam floor climbing block was in the path of travel in the clearance space [photo taken].

Plan of Correction: One extra crib has been removed and the remaining cribs spread out. Materials blocking access stored in the crib room have been removed.

Standard #: 22VAC40-185-500-B
Description: Based upon observations made, the leakproof or plastic-lined storage systems did not meet requirements in the CDC. Evidence: 1) The step-on can was broken and required staff to open the lid with their hand to dispose of dirty diapers in the infant classroom. 2) The step-on can was broken and required staff to open the lid with their hand to dispose of dirty diapers in the toddler classroom.

Plan of Correction: Both step-on cans have been replaced with commercial grade ones.

Standard #: 22VAC40-185-510-C
Description: Based upon a review of medications and documentation review, the center's procedures for administering medication were not followed in the CDC. Evidence: 1) 1 of 6 medications was expired; Infant Tylenol (Child F; expired 10/2016). 2) 1 of 6 medications authorizations was on-site beyond 14 days from its expiration. The written authorization on file for Benadryl, belonging to Child G, expired on 12/15/2016. There was no physician authorization that would allow the medication to be on-site longer than 10 work days, and the medication was not sent home.

Plan of Correction: 1) Expired medication has been removed and returned to parents. 2)Medication on-site beyond expiration of authorization was returned to parent.

Standard #: 22VAC40-185-550-M
Description: Based upon documentation reviewed, written records of children's injuries were incomplete in the CDC. Evidence: 1) Four of the eight injury/accident reports reviewed did not contain the last name of the injured child.

Plan of Correction: Staff are being instructed to always include the last name and this is being monitored as Incident Reports are turned in.

Standard #: 22VAC40-185-560-G
Description: Based upon observations made, food brought from home was not labeled in a way that identifies the owner, and dated in the CDC. Evidence: 1) Child D had 2 food containers with no date in the infant classroom. 2) Child B had 2 food containers not labeled with the child's name and dated. 3) Child E had 2 food containers not labeled with the child's name and dated.

Plan of Correction: Parents have been reminded to have name and date on all food brought from home. Masking tape and pen are being made available to them to use. Staff are checking food as it is brought in at drop off.

Standard #: 22VAC40-185-560-M
Description: Based upon observations made, CDC staff did not sit with children during meal times in the toddler classroom. Evidence: Staff did not sit with children during lunch. They were setting up nap mats, serving food, and standing at the tables while children ate in the toddler classroom.

Plan of Correction: Staff in the toddler room are being instructed to sit and converse with children while they are eating.

Standard #: 22VAC40-185-570-E
Description: Based upon observations made, prepared infant formula was not dated, and labeled with the child's name in the CDC. Evidence: 1) Child C had 2 bottles stored in refrigerator in the infant classroom with no name and date. 2) Child B had 2 bottles stored in refrigerator in the infant classroom with no name and date. 3) Child E had 1 bottle stored in refrigerator in the infant classroom with no name and date.

Plan of Correction: Parents have been reminded to have name and date on all bottles brought in. Masking tape and pen are being made available to them to use. Staff are checking bottles at drop off.

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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