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Ms. Rita Kessie
2525 Port Potomac Avenue
Woodbridge, VA 22191-1463
(703) 680-2311

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Feb. 9, 2018

Complaint Related: No

Comments:
An unannounced renewal inspection was conducted with the provider and her assistant from 10:00 am ? 12:30 pm. There were five children present, ranging in age from ten months to three years old, for a total of 13 points. Children were observed watching an age-appropriate video, playing with blocks, and eating lunch. Lunch today was fish sticks, green beans, grapes and milk. Five children?s records were reviewed. Two provider records and one household member?s record were reviewed. The last emergency escape drill was 1/12/18 and the last shelter in place drill was 10/12/17. The first aid kit, battery operated radio and flashlight were observed and in compliance. If you have any questions about this inspection, please contact Donna Liberman at 540-359-5244 or email Donna.Liberman@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review of five children?s records, and provider interview, it was determined that the provider did not review annually the parent emergency contact information or obtain the parent?s signed acknowledgement of this review. Evidence: there was no signed acknowledgement in child 1 (date of last review: 4/14/2016), child 2 (date of last review: 3/16/2015) or child 3's (date of last review: 8/22/2016) files.

Plan of Correction: Will review emergency contact information and obtain a signed acknowledgement from each parent.

Standard #: 22VAC40-111-790
Description: Based on observation, the provider did not post the following numbers in a visible area close to the telephone: 1) 911 or local dial number for police, fire, and emergency medical responders; 2) the responsible person for emergency backup care; and 3) the regional poison control center. Evidence: no telephone numbers were posted in the childcare area.

Plan of Correction: Will post the emergency numbers.

Standard #: 22VAC40-111-100-A
Description: Based on review of five children?s records, it was determined that the provider did not obtain documentation of a physical examination prior to the child?s attendance or within 30 days after the first day of attendance. Evidence: Child 5 (date of attendance: 8/22/16) did not have documentation of a physical examination in their file.

Plan of Correction: Will ask the parents for documentation of a physical examination.

Standard #: 22VAC40-111-110-B
Description: Based on review of five children?s records, it was determined that not all physical examination reports were signed by a licensed physician, physicians?s designee, or an official of a local health department. Evidence: Child 3 (date of attendance: 6/5/17) and Child 4?s (date of attendance: 3/16/15) physical examination documentation was not signed by a licensed physician, physicians?s designee, or an official of a local health department.

Plan of Correction: Will ensure that all physicals are signed by the physician.

Standard #: 22VAC40-111-120-B
Description: Based on review of provider files, it was determined that not all caregivers have all required information in their file. Evidence: there was no documentation of two references as to character and reputation as well as competency before employment for Staff A (date of hire 12/4/17).

Plan of Correction: Will obtain two references for my assistant.

Standard #: 22VAC40-111-70-A
Description: Based on review of children?s files, and provider interview, it was determined that not all written information for parents was provided before the child?s first day of attendance. Evidence: There is no written acknowledgement of receiving information regarding the provider?s policy for administering medication and whether or not there is liability insurance in Child 1 (date of attendance: 4/18/16), Child 2 (date of attendance: 9/5/17), Child 3 (date of attendance: 6/5/17), Child 4 (date of attendance: 3/16/15), or Child 5?s (date of attendance: 8/22/16) files.

Plan of Correction: Will provide information regarding medication administration and liability insurance to all parents and obtain signatures for receipt of this information.

Standard #: 22VAC40-111-80-A
Description: Based on review of five children?s records, it was determined that the provider did not obtain proof of age and identity for all children within seven business days of the child?s first day of attendance. Evidence: Child 5 (date of attendance: 8/22/16) did not have documentation of proof of age and identity in their file.

Plan of Correction: Will ask parents to provide proof of age and identity.

Standard #: 22VAC40-111-90-A
Description: Based on review of five children?s records, it was determined that the provider did not obtain documentation that all children were adequately immunized before attendance at the family day home. Evidence: Child 5 (date of attendance: 8/22/16) did not have documentation of immunizations in their file.

Plan of Correction: Will ask the parents to bring in a copy of the child's immunizations.

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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