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Nikki's Christian Daycare Inc. Pam's Place
1549 Old Bridge Road
Suite 210
Woodbridge, VA 22192
(703) 427-2053

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Aug. 9, 2022

Complaint Related: Yes

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code

Technical Assistance:
Both playgrounds shall remain off limits until the LI has an opportunity to ensure that they are safe and in compliance with all standards.

Discussed that the larger playground has been off limits for approximately 2 weeks due to a downed tree.

Comments:
An unannounced complaint inspection was initiated on 8/9/2022 to investigate an allegation received by the department related to Staff to Children Ratio Requirements and Behavioral Guidance. Based on evidence gathered through observations, interviews and documentation review, the complaint was determined to be Not Valid. There were violations found, however, that were not related to the complaint and a violation notice was issued to the facility. An exit interview was conducted on 8/24/2022.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Wednesday, 8/31/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-B-2
Complaint related: No
Description: Based on review of two staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) had an OBI fingerprint determination letter dated: 6/3/2022. The record for staff #2 (date of hire 6/27/2022) did not have an OBI determination letter.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-B
Complaint related: No
Description: Based on review of two staff records, it was determined that not all staff had a sworn statement or affirmation prior to their first day of employment/volunteering. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not contain documentation of a sworn statement.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Complaint related: No
Description: Based on review of two staff records, it was determined that not all staff had an original central registry report within 30 days of employment. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not contain documentation of a central registry report.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Complaint related: No
Description: Based on review of two staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff as required - at the time of employment and prior to coming into contact with children and completed within 30 days of the date of employment. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) did not contain documentation of a TB test/screening. The record for staff #2 (date of hire 6/27/2022) had documentation of a TB test/screening dated 1/1/2022. Staff #1 and staff #2 were observed supervising children.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Complaint related: No
Description: Based on review of two staff records, and an interview with the center director, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) only contained fingerprint results and a job description. The record for staff #2 (date of hire/volunteering: 6/27/2022) only contained a TB test/screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-240-B
Complaint related: No
Description: Based on review of two staff records, the facility failed to ensure all staff received orientation training as required. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not have documentation of completion of orientation training.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-270-A
Complaint related: No
Description: Based on observation, the facility did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence:
1) There are multiple missing/broken and deteriorating pickets/vertical boards in the younger children?s playground fence leaving gaps approximately 3-4 inches wide
2) The wire fence in the younger children?s playground had protruding, rusted, sharp ends, was broken and/or damaged and was loose leaving gaps at the bottom of the fence in some locations
3) There is a gap in the wire fence at the corner of the younger children?s and older children?s playground that is approximately 3-5 inches wide that could cause an entrapment hazard
4) There are multiple tree limbs and branches as well as trash and deteriorating wood on the playground
5) Staff stated that children have been going outside and playing on the playground, weather permitting

Plan of Correction: Not available online. Contact Inspector for more information.

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.

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