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Faten Bush
5958 Hall Street
Springfield, VA 22152
(703) 569-2659

Current Inspector: Nancy Radcliffe

Inspection Date: July 21, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
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:
Discussed the following standards: children's records, proof of age and identity, caregiver records, determining need for additional caregiver and nutrition.

Comments:
An unannounced monitoring inspection was conducted today. Observed 12 children (35 points) directly supervised by 2 caregivers. Ratio requirements were not in compliance, the provider exceeded the point system by 3 points. A sample of 2 children's records and 2 caregiver records were reviewed. The physical plant, emergency supplies and procedures were also reviewed. No medications were reported to be on site. The children were engaged in various activities, to include: coloring, infant care, rest time, and a shapes and letters activity. Areas of non-compliance are identified in this report. The exit interview was conducted with the Provider. Inspection conducted from approximately 10:30am-11:45am. If you have any questions regarding today's inspection, please contact Ana Dally at (703) 577-0270 or anailim.dally@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-750-B
Description: Based upon observation, a topical skin product was not kept inaccessible to children. Evidence: A bottle of vaseline was on the floor in the room used by infants and toddlers.

Plan of Correction: The ointment (vaseline) was removed.

Standard #: 22VAC40-111-940-A
Description: Based upon observations made, the temperature in the refrigerator was not maintained at or below 40F. Evidence: The thermometer monitoring the refrigerator temperature read 52F.

Plan of Correction: I will buy a new thermometer by the end of the week.

Standard #: 22VAC40-111-50-C
Description: Based upon observations made and documentation reviewed, children's records were not kept confidentially. Evidence: Confidential information was posted on the parent board and readily viewable by the public and parents. Identifying information about children referenced on the Supplemental Information portion of the June 11, 2015 inspection report was posted. The report states, "Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility".

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-60-B
Description: Based upon documentation reviewed, a child's record was incomplete. Evidence: One of the two children's records reviewed did not contain the child's medical insurance (Child A; Date of enrollment (DOE) 06/10/2015).

Plan of Correction: I will obtain the information from the parents by the end of the week.

Standard #: 22VAC40-111-80-A
Description: Based upon documentation reviewed and interview, the provider did not obtained within seven business days of the child's first day of attendance verification of the identity and age of the child. Evidence: One of the two children's records reviewed did not contain written information verifying the proof of the child's age and identity (Child A, DOE 06/10/2015). The provider confirmed that she has not obtained and viewed documentation from the parent to verify the child's age and identity.

Plan of Correction: I will obtain the information from the parents by the end of the week.

Standard #: 22VAC40-111-80-D
Description: Based upon documentation reviewed and interview, the provider did not notify the local law-enforcement agency that a parent did not provide documentation to verify a child's identity and age within seven business days of the child's first day of attendance at the family day home. Evidence: One of the two children's records reviewed did not contain documentation verifying a child's identity and age (Child A; DOE 06/10/2015). The provider stated that she asked the parents to bring a birth certificate for Child A but they didn't bring the requested documentation. The provider also confirmed that she did not contact the local law-enforcement agency

Plan of Correction: I will obtain the information from the parents by the end of the week.

Standard #: 22VAC40-111-180-A
Description: Based upon documentation reviewed, a caregiver did not obtained a current report of tuberculosis screening (TB) form within two years from the last test/screening. Evidence: Caregiver #1 did not have a current TB test/screening on file; last TB test/screening was dated 07/02/2013.

Plan of Correction: I will make an appointment for next week.

Standard #: 22VAC40-111-570-A
Description: Based upon observation and interview, the Provider did not ensure that a caregiver did not exceed 16 points at all times. Evidence: Upon arrival to the family day home at approximately 10:30am, there were 12 children present under the supervision of the provider and one assistant with a combined 35 points (5 infants, 1 toddler and 6 preschoolers); exceeding the point system by 3 points.

Plan of Correction: I am in the process of hiring someone.

Standard #: 22VAC40-191-40-D-1-c
Description: Based upon documentation reviewed, a background check was not repeated within the allowable three years time frame. Evidence: One of the two caregiver records reviewed did not contain a current Sworn statement or affirmation (SDS) form on file; last SDS form was dated 07/01/2012.

Plan of Correction: I will complete a new form today.

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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