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

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: May 3, 2016

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
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 new training opportunities and resources online through the website at dss.virginia.gov

Comments:
An unannounced renewal inspection took place today from 11 am - 12:45 pm. There were 11 children in care for 39 points with the provider and two assistants. I observed children playing on the floor with toys, identifying picture cards, cuddling, socializing and eating lunch. I also observed lunch clean up and transition to nap. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-A
Description: A review of records today found that the written emergency preparedness and response plan had not been updated annually as required and the information regarding a person to call for emergency back up was not posted as required. Evidence: The plan was last updated in 2014 and the information for a back up emergency person was not posted.

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

Standard #: 22VAC40-111-920
Description: Although there was a menu today, it did not meet the requirements as written. Evidence: During today's inspection, the menu was not posted in an area where visitor could view it. I(t was in a closet). It also did not state the food that was observed at lunch: spaghetti, beans, broccoli, bananas and strawberries.

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

Standard #: 22VAC40-111-60-B
Description: A review of children's records today found that some required information was missing. Evidence: The information for Child # 2 had not been reviewed and updated annually by parents as required. The last update was 3/14. The proof of identity for Child # 1 had not been completed and signed by the provider as required.

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

Standard #: 22VAC40-111-70-A
Description: The written information for parents, due before the child's first day of attendance, was not available for one child; and other children had the form signed but not all information was completed by the provider as required. Evidence: Child # 3 did not have an Information for Parents form available today that had been signed by a parent. Others did not include fee information.

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

Standard #: 22VAC40-111-180-A
Description: A review of staff and household member records today found there was no documentation of current tuberculosis screenings for two people. Evidence: The provider and Household Member #1 had TB screenings that expired 3/16.

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

Standard #: 22VAC40-111-200-C
Description: A review of records today found that one staff member did not have signed documentation of an orientation as required. Evidence: Assistant #2, who began 1/2/16, did not have documentation of orientation training available today.

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

Standard #: 22VAC40-111-280
Description: During today's inspection, the laundry room where detergents are stored, was not securely closed and was unlocked. Evidence: The laundry room, which is adjacent to the children's eating area, was observed to be unlatched.

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

Standard #: 22VAC40-111-680-B
Description: Based on observation today, it was observed that children's hands were not washed as required. Evidence: During today's inspection, children's hands were not washed with liquid soap and warm running water before eating and after diapering as required.

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

Standard #: 22VAC40-111-690-D
Description: During today's inspection, it was observed that the diapering surface was not cleaned and sanitized after each use as required. Evidence: The assistant was observed wiping the area with a wipe that did not meet the definition of sanitizing. *(This means removing dirt and debris by scrubbing and washing with soap and water or detergent solution and rinsing with water. Sanitized means treated in such a way as to remove bacteria and viruses from inanimate surfaces through first cleaning and secondly using a solution of one tablespoon of bleach mixed with one gallon of water and prepared fresh daily, or using a sanitizing solution approved by the US Environmental Protection Agency. The surface of the item is sprayed or dipped into the sanitizing solution and allowed to air dry (Standards for Licensed Family Day Homes 22 VAC 40-111-690D3)

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

Standard #: 22VAC40-191-40-D-1-b
Description: A review of records today found that an assistant was present who did not have all required background checks returned within 30 days of hire, and there was no documentation available to demonstrate that the provider had checked on the Search of the Central Registry after 30 days. Evidence: Assistant # 1, who was hired 1/16 but did not begin work until 2/16, had her Criminal Record Check returned but no Search of the Central Registry in the required time period.

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

Standard #: 22VAC40-191-40-D-1-c
Description: A review of records today found that a household member did not have a current Sworn Disclosure Statement available. Evidence: The last Sworn Disclosure Statement available today that had been signed by Household Member # 1 was dated 3/12.

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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