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Primrose School of Ashburn
44830 Lakeview Overlook Plaza
Ashburn, VA 20147
(703) 724-9050

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Jan. 22, 2018

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.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed new background check legislation.

Comments:
An unannounced monitoring inspection was initiated today at 2:00pm. The physical plant, 5 staff files, 5 children's files, annual fire and health inspection, staff training, child nutrition, children's activities, medications, emergency procedures, drills and supplies were inspected today. There were 97 children under the supervision of 14 staff. During the inspection, children were observed eating afternoon snack (string cheese and crackers), having a diaper change (infant), listening to storytime, enjoying free play, reading books and resting during naptime. For lunch, the children were served pot roast with rice and peas, honeydew melon and milk. The interactions between the children and staff were seen to be positive and constructive in nature. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-70-A
Description: Based on file review, 4 out of 5 staff records do not have all required information. Evidence 1. Staff #2 and #4 do not have name, address and telephone number of a person to be notified in an emergency which shall be kept at the center. 2. Staff #2, #3 and #5 do not have documentation that two or more references as to character and reputation as well as competency were checked before employment began. 3. Staff #2 does not have written information to demonstrate that the individual possesses orientation training required by the job position. 4. Staff #5 does not have written information to demonstrate that the individual possesses education required by the job position.

Plan of Correction: The new director is working on staff files and will get all of this information to keep on file.

Standard #: 22VAC40-185-350-E-4
Description: Based on observations, there were children in a classroom who were not within the required staff to children ratio. Evidence 1. Upon entering the Pre-K classroom at 2:41pm, there were 18 children under the supervision of 1 teacher. This was during the scheduled nap time. However, 15 of the 18 children were awake and interacting with others. When this was brought to the teacher's attention, she called the front office to ask for another staff member to come to the room. At 2:43pm, another staff came to the room which put the class back within the 1:10 ratio.

Plan of Correction: The administrators will remind the teachers that when the children are awake, they must comply with the standard ratio.

Standard #: 22VAC40-185-510-C
Description: Based on file review, the medication authorization forms for epi-pens and benedryl do not include all required information. Evidence 1. These forms do not include the duration that the medication authorization is to be effective.

Plan of Correction: The center will use the forms that are already being used for short term medications, which includes this information.

Standard #: 22VAC40-185-510-L
Description: Based on interview, the center did not have a record of every day that medications were administered to children in care. Evidence 1. Child #6 has a medication authorization for "Poly Visol" to be administered daily. Upon reviewing the medication log, there was no entry for January 19, 2018. It was determined that the child had been administered this medication, but that had not been entered into the medication log.

Plan of Correction: The staff who administered the medication made a note of this in the medication log. This will be completed each time a medication is administered.

Standard #: 22VAC40-185-550-D
Description: Based on file review, the center did not implement an evacuation drill each month. Evidence 1. There was no documentation of a drill having been completed in October 2017.

Plan of Correction: This was noted and completed the following month.

Standard #: 22VAC40-185-550-M
Description: Based on file review, the Incident report does not include all required information. Evidence 1. Child #1 has an "Incident Report" on file. This was completed on 1/11/18 in response to a minor injury to the child's head. There is no future action to prevent recurrence of injury.

Plan of Correction: A new section will be added to this form to include this information.

Standard #: 22VAC40-191-40-D-1-B
Description: Based on file review, 3 out of 5 staff records do not have all required background checks. Evidence 1. Staff #1, #2 and #3 do not have a completed criminal history record check (CRC) before 30 days of employment ended. 2. Staff #2 does not have a sworn disclosure statement (SDS) or search of the central registry (SCR) completed before 30 days of employment ended.

Plan of Correction: The SDSs are being completed today. Staff #1-3 will be having fingerprinting completed (to replace the CRC) within the next few weeks. The SCR will be submitted again.

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. To find programs participating in Virginia Quality, click here.

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