VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Madison Day School III
2107 Mount Vernon Ave
Alexandria, VA 22301
(703) 299-4200

Current Inspector: Sarah Zirzow (703) 479-4675

Inspection Date: June 28, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

- As discussed, ensure a supervisor is on site at each building and each building/location is operating as separate facilities. - Background checks, trainings, orientation, etc., needs to be site specific as well as the school wide allergy list, only containing children who are enrolled in the facility. - Discussed glitter in younger classrooms and keeping items labeled ?keep out of reach of children? locked away.

Comments:

An unannounced monitoring inspection was initiated on June 25, 2024 at approximately 8:53am and concluded on June 25, 2024 at approximately 12:00pm. There were a total of 54 children with 15 staff members present. Children were observed during circle time, engaged in group activities and outdoor water play. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact me the License Inspector at Sheila.Nelson@doe.virginia.gov. Thank you for your cooperation during this inspection.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, the center did not obtain documentation for a 5 year repeat check. Evidence: 1. The record for Staff #3 did not have documentation of an updated sworn statement (expired on 6/13/24). 2. The record for Staff #5 did not have a repeat criminal history check (expired on 6/7/24).
Plan of Correction:	I will have all fingerprints done by 7/5/24. Sworn Statements were corrected during the inspection.
Standard #:	22.1-289.035-B-2
Description:	Based on record review, the provider did not obtain a criminal history record check prior to the 1st day of employment. Evidence: 1. Staff #1 (DOH 2/22/24) did not have documentation of criminal history check for this facility location. 2. Staff #2 (DOH 3/22/23) did not have documentation of a criminal history check for this facility location. 3. Staff #3 (DOH 6/17/19) did not have documentation of a criminal history check for this facility.
Plan of Correction:	I will have all fingerprints done by 7/5/24.
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the center did not ensure the Sworn Statement was completed prior to 1st day of employment. Evidence: 1. The sworn statements for Staff #1 (DOH 2/22/24), Staff #2 (DOH 3/22/23), Staff #4 (DOH 4/1/24 )and Staff #5 (DOH 6/14/19) were not completed prior to the 1st day of employment for the facility location.
Plan of Correction:	I will have the new sworn statements completed by 6/28/24.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the center did not obtain Central Registry Results by the end of the 30th day of employment. Evidence: The central registry results for Staff #1 (DOH 2/22/24), Staff #2 (DOH 3/22/23), Staff #4 (DOH 4/1/24 )and Staff #5 (DOH 6/14/19) were not completed for the facility location.
Plan of Correction:	I will have all central registry background checks submitted by 7/5/24.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Cleaning supplies and acrylic paint was stored in an unlocked cabinet in the Toddler classroom. 2. Baby oil labeled "Keep out of reach of children" was stored in an unlocked drawer in the Jr. Preschool 2 classroom.
Plan of Correction:	Violation corrected during the inspection.
Standard #:	8VAC20-780-280-H
Description:	Based on observation, cosmetics, medications or other harmful agents were stored in areas or purses that are accessible to children. Evidence: A staff purse containing Tylenol, Neosporin, lotion, sunscreen, and pain relievers was stored in an unlocked bottom cabinet in the Toddler Classroom.
Plan of Correction:	Director reminded staff to ensure items are kept locked in a cabinet so they are inaccessible to children. Violation corrected during the inspection.
Standard #:	8VAC20-780-420-E-3
Description:	Based on record review, the center did not ensure that at least annually the requested information in the child's record is up to date. Evidence: The record for Child #2 was dated 2022. No record of an annual update on file.
Plan of Correction:	I will have the parents update the information by 6/28/24.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, the diapering surface was not sanitized after each use. Evidence: Staff #2 in the infant classroom did not sanitize the diapering surface in such a way to remove bacteria and viruses from the surface. Staff #2 cleaned the diapering surface of the changing table with soap and water and sprayed with a disinfectant but the disinfectant (bleach solution) was not allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.
Plan of Correction:	All staff will be retrained this week. Violation corrected during the inspection.
Standard #:	8VAC20-780-520-A
Description:	Based on observation, the center did not ensure all nonprescription drugs and over-the-counter skin products shall not kept or used beyond the expiration date of the products. Evidence: 1. The diaper ointment for Child #3 in the Jr. Preschool 2 classroom expired in May 2024.
Plan of Correction:	The expired ointment will be returned to the parent today. The expired ointment was removed from the classroom. Violation corrected during the inspection.
Standard #:	8VAC20-780-520-C
Description:	Based on observation and interview, the center did not ensure the requirements were met for diaper ointments or creams. Evidence: 1. The center did not obtain written parent authorization noting any known adverse reactions for any of the diaper ointments or creams being used in the center. 2. A sample of nine ointments were reviewed and found not to have written parent authorizations. 3. The center director confirmed written parent authorizations were not obtained.
Plan of Correction:	Diaper Cream forms are currently being updated and we will have parents complete a form. We will not use the ointment until authorization form is received.
Standard #:	8VAC20-780-550-G
Description:	Based on record review, the documentation of emergency drills did not include the required information. Evidence: 1. The drill log did not contain information on the identity of the person conducting the drill. 2. The drill log did not contain information on the method used for notification of the drill.
Plan of Correction:	The drill log will be updated to include the necessary information.