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Edla Yilma
5603 Dawes Avenue
Alexandria, VA 22311
(703) 628-9782

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: March 28, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Physical Health of Caregivers and Household Members

Technical Assistance:
Consultation was given on the new background requirements for finger printing, a revised Sworn Statement (SDS) for new staff hired after 7/1/2017 and requesting out-of-state Central Registry checks for staff who have lived outside of Virginia within the last five years. The model SDS form is online at VA DSS as well as a link to the Adam Walsh site to assist with out-of-state central registry forms. VA DSS will be paying for initial child care finger print checks until 9/30/2018. Each facility must establish a point of contact with VA DSS. All questions regarding facility codes should be directed to OBI at 804-726-7884. Eligibility letters will be sent out by e-mail and staff may not be hired until the completed letter is received. Please read, review, and respond to all correspondences regarding the fingerprint roll out. Discussed the frequent assessment of furnishings to removes items that may be not be usable anymore, discussed with provider the importance of maintaining hand washing before and after meals, implementing a system to make sure that milk bottles are current with labeling.

Comments:
An unannounced renewal inspection was conducted from 11:20 am through 1:15 pm. There were 11 children (32 points) with 3 caregivers. A total of 5 children's files and 4 staff/household member's files were reviewed. The children were engaged in the following: toy play, looking at small books, sleeping in cribs and getting ready for lunch. Lunch included mixed vegetable soup with ABC pasta, bread, tangerines and milk. snack, bathroom breaks, hand washing, and other organized activities. There were no medications on site. Positive interactions between staff and children were observed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at mahrukh.aziz@dss.virginia.gov or 571-835-4718.

Violations:
Standard #: 22VAC40-111-60-A
Description: Based on record review and staff interview, provider did not maintain an up to date record for a child in care at the family day home. Evidence: 1. Child # 1's record did not have documentation of proof of identification. 2. Child # 1' record did not written documentation of the Information to parents form, that is required to be signed by the parents. 3. Child # 1's record did not have written authorization for emergency medical care. 4. Staff # 2 stated that she had obtained the missing information but it could not be found during the inspection.

Plan of Correction: I will try to find the missing documents and if not found I will have the parents complete everything.

Standard #: 22VAC40-111-90-C
Description: Based on record review, provider did not obtain additional immunizations every six month for children in care. Evidence: 1. Updated immunization records were missing from Child # 1's file. The date of last immunizations was 5/11/17. 2. Updated immunization records were missing from Child # 2's file. The date of last immunizations was 8/31/17. 3. Updated immunization records were missing from Child # 3's file. The date of last immunizations was 4/12/17. 4. Updated immunization records were missing from Child # 1's file. The date of last immunizations was 7/20/16.

Plan of Correction: I will get updated shot records.

Standard #: 22VAC40-111-180-A
Description: Based on record review, provider did not obtain a current Tuberculosis (TB) Screening for staff every two years from the date of the last screening. Evidence: Staff # 1 most recent TB screening expired on 2/16/18.

Plan of Correction: I will get an updated TB screening.

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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