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Mr. Elias Rahman
13259 Fallen Leaf Court
Woodbridge, VA 22192
(703) 973-9061

Current Inspector: Lorraine Hancock (540) 272-9214

Inspection Date: March 28, 2017

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 Facilities and Programs..
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
With so many young children in care, it is important to speak, sing, and interact in the children's primary language of English. Children learn about the world around them through listening and speaking. Adults play a critical role in facilitating young children's language and literacy development. Though it is educational for the children to be exposed to another language, the primary language being spoken should be English.

Comments:
An unannounced monitoring inspection was conducted with provider and three assistant caregivers. There were 12 children present, ranging in age from 4 months to 2 1/2 years, totalling 34 points. The children were playing with age appropriate toys, watching an age appropriate TV program, and looking at books. Twelve children's files and two caregiver files were reviewed - please see Supplemental Summary for missing items. Please review the standards again, particularly those related to infants and diapering. Be sure the assistant caregivers know the standards that pertain to their job responsibilities. Our office offers Phase 3 (additional training on standards) periodically. An additional monitoring inspection may be necessary before your renewal inspection. Time of today's inspection: 3:15 p.m. to 5:30 p.m. Please call me if you have any questions 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles were not labeled with the child's name and the date, when more than one infant is in care. Evidence: the bottles for five infants were not labeled with the child's name or the date.

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

Standard #: 22VAC40-111-100-A
Description: Based on review of twelve children's files, the provider failed to have documentation of a physical examination within 30 days after the first day of attendance. Evidence: Child D (enroll 5/2016), Child E (enroll 1/2017), Child G (enroll 1/2017), Child H (enroll 2/2017), Child K (enroll 2/2017) and Child L (enroll 1/2017) did not have documentation of a physical examination within 30 days of first attendance.

Plan of Correction: Provider will request the information from the parent.

Standard #: 22VAC40-111-120-B
Description: Based on review of two caregiver records, the provider failed to have documentation of two references for one caregiver. Evidence: Caregiver C did not have documentation of two references as to character and reputation as well as competency.

Plan of Correction: Provider will obtain two references for Caregiver C and any other employee hired.

Standard #: 22VAC40-111-60-A
Description: Based on staff interview and review of files, the provider failed to have a file for each enrolled child. Evidence: one of the day care children present, Child F, did not have a file.

Plan of Correction: The child's parent works at the family day home, so the provider didn't realize a file was necessary. Provider will have parent fill out an enrollment packet.

Standard #: 22VAC40-111-60-B
Description: Based on review of twelve children's files, the provider failed to have all required information in each file. Evidence: Child B did not have the address of two emergency contacts, Child D did not have the name, address and phone number for two emergency contacts other than the parents, Child J did not have the phone number for one emergency contact, and Chid L did not have the name, address, or phone number for two emergency contacts. Child D, Child K and Child L did not have written authorization for the provider to obtain emergency medical care should an emergency occur and the parent cannot be located immediately.

Plan of Correction: Provider will obtain the missing items from the parents.

Standard #: 22VAC40-111-70-A
Description: Based on review of twelve children's files, the provider failed to have documentation of providing all required information in writing to parents before the child's first day of attendance. Evidence: Child E did not have a signed emergency preparedness plan or "Provisions of the Emergency Preparedness Plan". Child J did not have signed documentation of the "Liability Insurance Declaration" or an equivalent.

Plan of Correction: Provider will obtain signed forms from the parents.

Standard #: 22VAC40-111-90-A
Description: Based on review of twelve children's records, the facility failed to obtain documentation that the child has been adequately immunized before the first day of attendance. Evidence: Child H did not have documentation of an immunization record on file.

Plan of Correction: Provider will request the information from the parent.

Standard #: 22VAC40-111-510-A
Description: Based on staff interview, the cribs are not individually assigned to the infants in care. Evidence: infants under the age of 12 months are to be provided an individual crib, for resting or napping. Three infants in care did not have individually assigned cribs. The provider stated they sometimes sleep in bouncer seats.

Plan of Correction: A crib will be individually designated for each infant in care.

Standard #: 22VAC40-111-530-D
Description: Based on staff interview, the provider failed to clean and wash crib linens at least weekly or when soiled. Evidence: provider stated crib sheets are washed every one to two weeks.

Plan of Correction: Crib linens will be cleaned and washed weekly or when soiled.

Standard #: 22VAC40-111-540-B
Description: Based on observation, the provider failed to prevent the use of infant walkers. Evidence: a two year old child was observed in an infant walker, watching TV, during today's inspection.

Plan of Correction: Provider removed the wheels from the infant walker during today's inspection.

Standard #: 22VAC40-111-680-A
Description: Based on observation, one caregiver failed to wash their hands after diapering a child. Evidence: Staff B did not wash hands after diapering a child.

Plan of Correction: Caregivers will be retrained on handwashing procedures.

Standard #: 22VAC40-111-680-B
Description: Based on observation, one caregiver did not ensure that children's hands were washed with soap and warm water after diapering. Evidence: Staff A diapered a 7 month old infant and did not wash the child's hands.

Plan of Correction: Caregivers will be retrained on handwashing procedures.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the caregivers did not clean and sanitize the diaper pad after each use. Evidence: Caregiver B changed a child's diaper and didn't clean or sanitize the diaper pad. The provider did not have available soap and water for cleaning and did not have bleach water (or other sanitizer) available for the pad to be clean and sanitized.

Plan of Correction: Provider will retrain caregivers on cleaning and sanitizing the diaper pad after each use.

Standard #: 22VAC40-111-690-E
Description: Based on observation, the provider failed to have a leak proof, foot operated diaper disposal storage system in the diapering area for the disposal of soiled diapers and wipes. Evidence: after diapering a child, one caregiver opened a gate, opened the back door and disposed of the soiled diaper in a open trash can outdoors.

Plan of Correction: Provider will place a foot operated, leak proof diaper bin beside the changing table.

Standard #: 22VAC40-191-60-C-1
Description: Based on review of caregiver records, the provider failed to deny continued employment for a employee who did not have an original criminal history record within 30 days of employment. Evidence: Caregiver B (date of hire 11/2016) and Caregiver C (date of hire 1/23/2017) did not have documentation of an original criminal history record on file at the family day home.

Plan of Correction: Caregivers will not be allowed to return to work until the completed criminal history record report is returned from Va. State Police.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of caregiver records, the provider failed to deny continued employment for a employee who did not have an original search of the central registry (CPS check) within 30 days of employment. Evidence: Caregiver C (date of hire 1/23/2017) did not have documentation of an original criminal history record on file at the family day home.

Plan of Correction: Caregiver will not be allowed to return to work until the search of the central registry (CPS check) is returned with satisfactory findings. Provider stated that the CPS check was returned because it was not completely filled out, but had not been returned with findings. Provider called VDSS, but did not document when or the status of the background check.

Standard #: 63.2-1809-A
Description: Based on review of twelve children's files, the provider failed to obtain proof of each child's identity and age within seven days of enrollment. Evidence: Child D and Child H did not have documentation of proof of identity and age in the file.

Plan of Correction: Provider will request the information from the parent again.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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