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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 2, 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
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 storage of infant seats, required records before a child can begin care, placing infants on back to sleep -- and infants who turn themselves.

Comments:
An unannounced renewal inspection was conducted today from 10:30 - 12:40 pm. There were 12 children in care with the provider and two assistants for 38 points. I observed children at play with toys, learning to count in Spanish and English; singing; preparing for lunch (homemade tiny fishcakes, rice and veggies) and naptime. I also observed staff's calm and efficient handling of a situation that arose when a child seemed to develop a reaction to an allergen. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-60-A
Description: During today's inspection, a new child in care did not have a complete record accessible. Evidence: Child # 1, who began care today, had only a physical exam and immunization form available today.

Plan of Correction: His mother took the forms and will bring them later.

Standard #: 22VAC40-111-180-A
Description: During a review of records today and through staff confirmation, one household member did not have a current tuberculosis screening. Evidence: The TB screening for Household Member # 1 was expired 1/16.

Plan of Correction: He is waiting for a copy of the report from the doctor. I will mail it to you.

Standard #: 22VAC40-111-210-A
Description: During a review of records today and through staff confirmation, it was found that there were not the number of required training hours (16 hours annualy) for each assistant. Evidence: Assistant 1 & 2 had 2 hours of training this year.

Plan of Correction: Staff will work on the on-line classes.

Standard #: 22VAC40-111-240-A
Description: Some areas of the family day homes were observed to not be maintained in a safe condition. Evidence: On the glass doors that lead to the backyard, the rubber sealant for the door was observed to be coming off, leaving a loop accessible at child height. There were sharp areas along the bottom of the doors where a panel was coming off, exposing some sharp edges. There was also a loose brick at the corner of the home, accessible at child height. An open ladder was accessible today on the deck where children play. Indoors: There was an area of peeling paint in the children's room.

Plan of Correction: The seal will be cut off. I have called for a handyman or contractor to do work. In the meantime, we will tape over the sharp areas. The brick will be cemented in. The ladder will be put away. The peeling paint in the classroom came from where something on the wall was taken off. We will cover it up so it is not accessible.

Standard #: 22VAC40-111-280
Description: During the inspection, not all hazardous items were observed to be locked as required. Evidence: Under the kitchen sink, a cabinet without a lock or latch was where household cleaners were located today.

Plan of Correction: We will get a latch.

Standard #: 22VAC40-111-480-D
Description: During today's inspection,a piece of equipment was observed not to be used in accordance with manufacturer's instructions. Evidence: A crib was observed today with two mattresses inside. This is not how the manufacturer intended the crib to be used.

Plan of Correction: The mattress will be removed.

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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