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Farah Akhtar
7420 Beulah Street
Alexandria, VA 22315
(703) 922-2989

Current Inspector: Nancy Radcliffe

Inspection Date: Nov. 13, 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.

Comments:
An unannounced renewal inspection was conducted today. Observed 11 children (31 points) directly supervised by 4 caregivers. Ratio and supervision were in compliance. A sample of 2 children's records, 4 caregiver records, and 1 household member record 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: free play, puzzles, reading, and infant care. Areas of non-compliance are identified in this report. The exit interview was conducted with the Provider. 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 #: 22VAC40-111-730-D
Description: Based upon observations, a medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: A non-prescription medication (Orajel) was inside the refrigerator.

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

Standard #: 22VAC40-111-800-B
Description: Based upon documentation reviewed, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence: The home's emergency plan was last review and update on 09/14/2014.

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

Standard #: 22VAC40-111-830-A
Description: Based upon documentation reviewed, emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence: An emergency evacuation drill was not practiced on September, and October, 2015.

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

Standard #: 22VAC40-111-940-A
Description: Based upon observations made, the temperature was not maintained at or below 40F in the refrigerator. Evidence: The thermometer measured the temperature inside the refrigerator at 50F.

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

Standard #: 22VAC40-111-960-E
Description: Based upon observations made, bottles were not labeled with the child's full name and the date. Evidence: 1) Two refrigerated bottles did not have the date. 2) Four refrigerated bottles did not have the child's full name and the date. 3) There were three infants in care during today's inspection (Child B, F, and K).

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

Standard #: 22VAC40-111-120-B
Description: Based upon documentation reviewed, caregiver records were incomplete. Evidence: Two of the four caregiver records did not have documentation that two or more references were checked before employment (Caregiver #1; Date of Hire (DOH) 08/25/2015, and Caregiver #2; DOH 08/31/2015).

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

Standard #: 22VAC40-111-60-B
Description: Based upon documentation reviewed, children's records were incomplete. Evidence: 1) One of the two children's records reviewed did not contain the telephone number of each custodial parent's place of employment (Child A). 2) Two of the two children's records reviewed did not contain proof of the child's age and identity (Child A; Date of enrollment (DOE) 06/01/2015, and Child B; DOE 06/15/2015).

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

Standard #: 22VAC40-111-150-D-1
Description: Based upon observations made and interview, an assistant who was left along with children in care did not have a current certification in cardiopulmonary resuscitation (CPR). Evidence: Upon arrival to the family day home (FDH), there were 11 children under the supervision of three caregivers. Caregiver #1, #2, and #3 do not have a current CPR certification. The provider confirmed that she is the only one who currently has CPR certification and she was not present in the FDH at the beginning of the inspection as she was running an errand.

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

Standard #: 22VAC40-111-150-D-2
Description: Based upon observations made and interview, an assistant who was left along with children in care did not have a current certification in first aid. Evidence: Upon arrival to the FDH, there were 11 children under the supervision of three caregivers. Caregiver #1, #2, and #3 do not have a current first aid certification. The provider confirmed that she is the only one who currently has first aid certification and she was not present in the FDH at the beginning of the inspection as she was running an errand.

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

Standard #: 22VAC40-111-210-A
Description: Based upon documentation reviewed, a caregiver did not obtain a minimum of sixteen clock hours of training annually. Evidence: Caregiver #2 only completed 6 of the 16 required training hours annually from August, 2014 to August, 2015.

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

Standard #: 22VAC40-111-350-E
Description: Based upon observations, the hot water available to children was not maintained within a range of 105 to 120F. Evidence: The hot water measured 131F in the children's bathroom. The ages of the children present during today's inspection ranged from three months to two years old.

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

Standard #: 22VAC40-111-520-B
Description: Based upon observations made, a crib was used as a play space for an infant. Evidence: Caregiver #2 placed a play mat inside an infant's crib and then placed the infant on top of the play mat inside the crib.

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

Standard #: 22VAC40-191-40-D-1-b
Description: Based upon documentation reviewed, an employee did not have a completed background check within the allowable 30 days time frame. Evidence: One of the four caregiver records reviewed did not have a completed Search of central registry (CPS) check on file (Caregiver #2; DOH 08/31/2015).

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

Standard #: 22VAC40-191-60-C-2
Description: Based upon documentation reviewed and observation, a caregiver was allowed employment without a completed CPS check within 30 days of employment. Evidence: Caregiver #2 (DOH 08/31/2015) did not have a completed CPS check on file within 30 days from the date of hire. Caregiver #2 was present during today's inspection.

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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