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Dilek Degirmencioglu
3040 Cedarwood Lane
Falls church, VA 22042
(703) 650-8489

Current Inspector: Nancy Radcliffe

Inspection Date: Dec. 4, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed emergency procedures standards.

Comments:
An unannounced renewal inspection was conducted today. Observed 3 children (11 points) directly supervised by 2 caregivers. A sample of 3 children's records, 2 caregiver records, 1 household member record, and 1 pet record were reviewed. The children were observed during free play. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. Inspection conducted from approximately 9:30am to 10:45am. 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 made, medications for a caregiver were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Two medication bottles were on top of the refrigerator.

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

Standard #: 22VAC40-111-940-B
Description: Based upon interview, the provider did not have an operable thermometer available to monitor refrigerator and freezer compartment temperatures. Evidence: Upon request, the provider stated that an operable thermometer was not available to monitor temperatures.

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

Standard #: 22VAC40-111-120-A
Description: Based upon interview, the provider did not maintain a record for each caregiver. Evidence: Upon request, the provider stated that she did not have a record of Caregiver #1.

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

Standard #: 22VAC40-111-60-B
Description: Based upon documentation reviewed, a child's record was incomplete. Evidence: One of the three children's records did not contain the address of the second emergency contact listed (Child A).

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

Standard #: 22VAC40-111-170-A
Description: Based upon interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis Screening (TB) form. Evidence: Caregiver #1 did not have documentation of a current TB form on file. Caregiver #1 was present during today's inspection.

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

Standard #: 22VAC40-111-320-B
Description: Based upon observations made, a child-resistant protective cover was not installed on one unused electrical outlet accessible to children under five years of age. Evidence: An electrical outlet did not have one of the two required protective covers in the children's playroom.

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

Standard #: 22VAC40-111-460-D
Description: Based upon interview, the provider did not maintain documentation of current rabies vaccination. Evidence: Upon request, the provider stated that she could not locate Pet #1 documentation of current rabies vaccination.

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

Standard #: 22VAC40-191-60-B
Description: Based upon interview, an employee did not have a completed Sworn Statement (SDS) form by the first day of employment. Evidence: Caregiver #1 did not have a completed SDS form on file. The provider stated that a SDS form was not done for Caregiver #1 as of today and that Caregiver #1 started working around the third week of November. Caregiver #1 was present during today's inspection.

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

Standard #: 22VAC40-80-120-E-2
Description: Based upon observations made, the findings of the most recent inspection of the facility were not posted. Evidence: The findings of the inspection conducted on September 5, 2017 were not posted.

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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