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Sherry Kelly-Williams
3102 Wilson Avenue
Alexandria, VA 22305
(703) 548-6818

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Jan. 19, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Health Care of Caregivers and Household Members
8VAC20-800 Annual Training
8VAC20-800 Environment and Equipment
8VAC20-800 Spread of Disease
8VAC20-800 Emergencies
8VAC20-800 Nutrition

Technical Assistance:
Technical assistance was offered related to: upcoming expiring background checks; caregiver's records.

Comments:
A renewal inspection was conducted on 1/19/23 from 12:15 pm to 1:35 pm. There were 7 children present (17 points) with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies and nutrition. The children were observed eating lunch and coloring. A total of 3 children's records, 3 caregiver's records, emergency drill records and first aid supplies were reviewed. There were no medications on site. The lunch menu included grilled cheese sandwiches, peaches, bananas and milk.
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. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on staff interview, the family day home did not obtain results of a fingerprint based criminal history check for an employee prior to the first day of employment.
Evidence:
1. The provider stated that Caregiver # 1's first day of employment was 1/19/23.
2. The provider stated that Care giver # 1 has completed the fingerprinting process and they are waiting on the results.

Plan of Correction: I will follow up with the inspector about the fingerprint results.

Standard #: 22.1-289.058
Description: Based on staff interview, the family day home that serves preschool children was not equipped with a carbon monoxide detector.
Evidence: The provider stated that she had a carbon monoxide detector installed but it could not be found during the inspection.

Plan of Correction: The carbon monoxide detector will be installed.

Standard #: 8VAC20-800-800-B
Description: Based on records review, the provider did not review the emergency plan at least annually.
Evidence: The emergency plan for the family day home was last reviewed in 2019. There was no documentation of a review since that date.

Plan of Correction: The plan will be updated annually and documented.

Standard #: 8VAC20-800-100-A
Description: Based on records review, the provider did not obtain a child's documentation of a physical examination within 30 days of enrollment.
Evidence:
1. Child # 1's first day of enrollment was 8/15/22.
2. Documentation of a physical examination for Child # 1 has not been obtained to this date.

Plan of Correction: A copy of the physical exam will be obtained and kept on file.

Standard #: 8VAC20-800-120-B
Description: Based on staff interview, the family day home did not obtain documentation of two written reference checks for an employee prior to the first day of employment.
Evidence:
1. The provider stated that Caregiver # 1's first day of employment was 1/19/23.
2. The provider stated that she did not obtain two reference checks for Caregiver # 1.

Plan of Correction: The references will be completed and kept on file.

Standard #: 8VAC20-800-60-B
Description: Based on records review, children's records were not complete.
Evidence:
1. Child # 1's record was missing the following information: parent's information including names and contact information; doctor's name and number; medical insurance information; authorization for emergency medical care; liability insurance information; medication authorization policy; information for parents; provisions for emergencies.
2. Child # 2's record was missing the following information: persons authorized to pick up; first day of attendance; liability insurance information; medication authorization policy.
3. Child # 3's record was not annually updated. The last documented updated was completed on 4/2021.

Plan of Correction: All missing information will be obtained and completed.

Standard #: 8VAC20-800-90-A
Description: Based on records review, the family day home did not obtain documentation that the child has been adequately immunized prior to the first day of attendance.
Evidence:
1. The provider stated that Child # 2's first day of attendance was sometime after April 2022.
2. Child # 2's immunization record was not obtained to this date.

Plan of Correction: Immunization records will be obtained.

Standard #: 8VAC20-800-180-A
Description: Based on records review, the provider did not obtain a current report of Tuberculosis (TB) Screening form, every two years from the date of the first screening.
Evidence:
1. The provider's most recent TB screening expired 8/20/22.
2. The provider did not obtain a current TB screening since that date.

Plan of Correction: The TB will be updated.

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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