Inspection · 2023-05-04

Based on record review, a volunteer who was working in a capacity in which they were counted in ratio, did not submit to a fingerprint criminal background check.
Evidence:
Staff 1 (working as a volunteer) was observed working in ration on the date of inspection. Their record did not contain documentation of a national criminal record check.

Based on record review, one volunteer working in ration with children, did not have the results of a sworn statement or affirmation on the date of inspection.
Evidence:
Staff 1 (a volunteer), was observed working with children in ratio on the date of inspection. Their record did not contain a sworn statement or affirmation document.

Based on record review, one volunteer working in ratio with children did not have the results of a central registry check on file.
Evidence:
Staff 1 (a volunteer) was observed working in ratio on the date of inspection. Their file did not contain the results of a Virginia central registry check.

Based on record review, two of seven's children's records did not contain documentation of additional immunizations once every six months for children under the age of two years.
Evidence:
1. Child 4's most recent immunizations were documented at 17 months of age.
2. Child 5's most recent immunizations were documented at 12 months of age.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. Two cabinets were observed containing spray disinfectant. The keys to the cabinets were observed to be stored in the lock.
2. A chemical sponge was observed sitting on an open sink ledge.

Based on record review and provider statement, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.
Evidence:
On the date of inspection written procedures for prevention of shaken baby syndrome or abusive head trauma could not be produced. The center management told the inspector that they are currently working on developing them

Based on observation, the center did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions in a way that is accessible and confidential.
Evidence:
The allergy lists were observed posted in plain view throughout the center.

Based on record review, the center did not follow all guidelines for administering medication.
Evidence:
1. Child 8's medication authorization does not contain the signature of a physician.
2. Child 9's medication authorization does not contain the signature of a physician and of the child's parent.
3. Child 10 and Child 11's authorization does not give "Your Child's Place" permission to administer medication. The authorization form lists that Fairfax County Public schools may administer the medication.

Based on a review of medication and medication documentation, the center did not send home medication within 14 days of the expiration of the parent's authorization.
Evidence:
Child 9's medication was present in the center on the date of inspection. The medication authorization, signed buy the child's parents expired on 1/24/2023.

Based on record review, the center's record of children's serious and minor injuries did not contain all required information.
Evidence:
Seven incident/accident reports were reviewed. Five reports did not contain documentation of actions taken to prevent further occurrences. Five reports did not document the time that parents were notified. One did not contain the date the parent was notified.