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Ms. Hirut Yigezu
4012 Cairo Place
Woodbridge, VA 22192
(571) 239-9535

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: Oct. 26, 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

Technical Assistance:
Discussed with the prov1der: No hand sanitizer may be accessible. Outlet covers must be replaced as needed.

Comments:
An unannounced monitoring inspection was conducted beginning at 1:30 and ending at 3:15. There were 7 children in care including the provider's own child. Children were observed getting settled down for nap and sleeping. Reviewed children's files - see violation notice Reviewed staff and family files - see violation notice Emergency escape drills are up to date as is attendance record. If you have any questions please call Linda Reynolds at 540-272-2663 or email Linda.reynolds@dss.virginia

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, it was determined that there were two infants who had bottles for formula . Evidence: The bottles were not labeled with each child's name and today's date.

Plan of Correction: Bottles will be labeled every day.

Standard #: 22VAC40-111-120-B
Description: Based on a review of records and interview with the provider, it was determine that the assistant who began working on 9/28/17 did not have a complete file. Evidence: Staff A does not have a Sworn Statement or Affirmation that is to be done as of the first day of employment. Also does not have a TB test or screening which was due within 21 days from the start of employment. In addition, the provider failed to complete Staff Orientation for the staff person by the end of the first day of employment. Provider has not completed reference checks for new assistant

Plan of Correction: The provider will have all required information on file.

Standard #: 22VAC40-111-60-B
Description: Based on a review of six children's files, it was determined that 5 files were missing required information. Evidence: Child #1 was missing a signed physical and shot record , and proof of age and identity. Child #2 was missing a Doctor's phone number and Proof of age and identity. Child #3 was missing annual update for information and agreement. Child al update. Child #6 was missing physical and shot record.

Plan of Correction: Provider will check all files and notify parents of missing information.

Standard #: 22VAC40-111-520-A
Description: Based on observation and interview with the provider, it was determined that there are two enrolled infants under 12 months of age and there is only one crib. Evidence : On 10/26 at 1:30 there were two infants in care and one child was in the crib and second child needed to sleep. There was no second crib available.

Plan of Correction: The provider will purchase a second crib this weekend.

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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