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Edla Yilma
5603 Dawes Avenue
Alexandria, VA 22311
(703) 628-9782

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Nov. 18, 2014

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Technical assistance today included record keeping, program and the physical environment.

Comments:
An unannounced monitoring inspection was conducted this afternoon from 1:20 - 3:30 pm. There were 10 children present with the provider and two assistants for 30 points. I observed children at nap; and crawling, cuddling and playing with toys. The new arrangement of cribs opens the children's area for more movement activities; and the two new toddler sized toy bins can really promote independence. No medication was on-site for the children today. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-100-A
Description: A review of records today found that two children in care did not have documentation of a physical examination within 30 days of beginning the program. Evidence: Child # 1, who began care 3/14; and Child # 2, who began care 10/14/14, both did not have physical examinations available today.

Plan of Correction: I will remind the parents today.

Standard #: 22VAC40-111-120-B
Description: A review of the records of assistants today found some required information was not available. Evidence: Assistant #2 had only one reference check (2 are required.)

Plan of Correction: I will check on another reference.

Standard #: 22VAC40-111-60-B
Description: A review of children's records today found that some information was not available. Evidence: Of 8 records reviewed today, Child # 4 only had one emergency contact listed. Child # 3 had no documentation that the contact information was reviewed and updated by parents annually as required (last updated 8/13.)

Plan of Correction: I will talk to the parents today.

Standard #: 22VAC40-111-80-A
Description: A review of children's records today found that not all children had proof of identity information as required. Ev idence: A review of 8 children's files found that there was no documentation of proof of identity for Child # 2, who began care 10/14/14, over a month ago.

Plan of Correction: I have asked the parent. I will remind them.

Standard #: 22VAC40-111-80-D
Description: A review of children's files today found that the provider did not notify local law enforcement as required when a parent did not provide proof of identification within 7 days of beginning care. Evidence: The provider did not notify authorities after 7 days when the parent did not bring in the required proof of identification.

Plan of Correction: I will tell the parent that this is the requirement.

Standard #: 22VAC40-111-170-A
Description: The provider did not obtain from one assistant a report of a tuberculosis screening as required before coming into contact with children. Evidence: Assistant #2, who began work with children 10/14, did not have documentation of a TB screening available today.

Plan of Correction: She will go tonight.

Standard #: 22VAC40-111-200-A
Description: A review of staff records found that there was no documentation of an orientation to the position for Assistant #2.

Plan of Correction: I will get the form and we will go over it.

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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