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

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: April 27, 2015

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
22VAC40-80 THE LICENSE.
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 physical environment; handwashing; and training opportunities. Consultation today included larger 2 1/2 year old children and appropriate mealtime seating.

Comments:
An unannounced renewal inspection was conducted today from 10:50 - 1:30 pm. There were 9 children in care with the provider and two assistants for 30 points. I observed the children playing with toys; cuddling and talking to babies; eating a full lunch of chicken, pasta and broccoli, and beginning naptime to soothing music. The provider is not currently providing medication for children in care. Today the provider also had an inspection by the country representative for the Children's Food and Nutrition Program. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov **Please note: my phone number has been changed to 703 304-9609. The main office number remains 703 934-1505.

Violations:
Standard #: 22VAC40-111-830-C
Description: During a review of records, there was not a record found of emergency drills for 2015. Evidence: Although there were monthly emergency evacuation drills and two shelter-in-place drills documented in 2014, the record for this year was not available during today's inspection.

Plan of Correction: I will find the list of the fire drills done for 2015.

Standard #: 22VAC40-111-960-E
Description: During today's inspection, not all bottles were observed to be labeled as required. Evidence: A child's filled Sippy cup and an infant bottle were observed to not be labeled with the child's full name and date as required.

Plan of Correction: They will be labeled.

Standard #: 22VAC40-111-100-A
Description: A review of records today found that one child in care did not have documentation of a physical examination within 30 days of first day of attendance as required. Evidence: Child # 3, who began care 3/23/15, had immunizations on file but no documentation of a physical examination.

Plan of Correction: The parent was given the form to give to the doctor but only brought in shot updates. I will ask her again.

Standard #: 22VAC40-111-60-B
Description: A review of a sample of children's records found that one child had some missing required information. Evidence: A review of six children's files found that Child # 2 had incomplete information regarding health insurance.

Plan of Correction: I will speak to the parent today

Standard #: 22VAC40-111-210-A
Description: A review of staff records today found that not all caregivers had documentation of adequate annual training. Evidence: Effective 7/1/13, caregivers are required to obtain 16 hours of annual training, but Assistant # 2, who had been working since 11/14, did not have any training hours documented, and there was no documentation available today to review the hours of training for Assistant # 1.

Plan of Correction: We will find new training and all attend.

Standard #: 22VAC40-111-240-A
Description: Some areas of the family day home were found not to be maintained in a safe condition today. Evidence: Outdoors: There was an area today on the door leading to the backyard that had a panel at the bottom that was loose and had sharp edges at child height. The wooden gate was also observed to be missing a latch clasp, leaving it unable to lock; and screws were protruding where the lock had been. Indoors: There were several areas of peeling paint observed today on the cabinets in the kitchen that leads to the children's area.

Plan of Correction: Work will be done on the door and gate this week. Children will not go near these areas. We will work on the cabinets in the kitchen.

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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