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Beenish Javaid
25083 Kingscote Court
Chantilly, VA 20152
(703) 298-8984

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: April 2, 2018

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 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.

Comments:
An unannounced monitoring inspection was conducted today from 10:20am-1:25pm. There were 10 children (26 points) directly supervised by 3 staff. The home, 3 staff records, 5 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. Children were observed playing freely, ding crafts, eating lunch and transitioning into naptime. Today's lunch consisted of macaroni and cheese with broccoli, apples and milk. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on review of medication and provider interview, it was determined that a child had two medications on site without a medication authorization form. Evidence: Child A has two emergency prescription medications on site. Both of these medications were on site without a medication authorization form completed and signed by the parent and the physician.

Plan of Correction: Parents will update.

Standard #: 22VAC40-111-710
Description: Based on review of medications, prescription medication was not maintained in the original, labeled container. Evidence: The prescription medication for child A was not in the original container with a prescription labeled attached.

Plan of Correction: Parents will update.

Standard #: 22VAC40-111-830-C
Description: Based on record review and interview with the provider, documentation of evacuation drills was found to be missing or incomplete. Evidence: Documentation of required monthly evacuation drills were not on file for February 2018, and March 2018.

Plan of Correction: Will update every month.

Standard #: 22VAC40-111-60-A
Description: Based on review of five children's records, the provider did not ensure all records had an annual update of the emergency information and that parents acknowledged with a signature. Evidence: Child A did not have an annual update of the emergency contacts. The child's record was last updated on 06/13/2016. Child E did not have an annual update of the emergency contacts. The child's record was last updated on 12/19/2016. Emergency information is required to be updated annually with parents providing a signature that all information is correct and current.

Plan of Correction: Have asked parents to update.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the provider did not maintain complete children's records. Evidence: Child A's record is missing the medical insurance name and policy number, child B's record is missing the mother's work phone number, one of two required emergency contacts, and the street name and number of the second emergency contact. Child D's record is missing the medical insurance policy number, and both parents work phone numbers.

Plan of Correction: Have asked parents to update.

Standard #: 22VAC40-111-70-A
Description: Based on review of children's records, the provider does not have documentation that parent's were provided in writing required information before the child's first day of attendance. Evidence: Child A's record is missing the family day home's policies for the administration of medication, the emergency preparedness and response plan, and the information for parents form.

Plan of Correction: Updated.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain an initial report of tuberculosis (TB) test or screening for a new staff member prior to coming into contact with children. Evidence: Staff member#3 (start date: 02/28/2018) did not have documentation of a negative tuberculosis screening during the inspection.

Plan of Correction: She brought a copy.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain updated tuberculosis (TB) test or screening for each household member and each staff member every two years. Evidence: Staff member#1 has a TB report on file that expired on 01/08/2018. Household member#1 has a TB report on file that expired on 01/08/2018.

Plan of Correction: Will get TB test renewed.

Standard #: 22VAC40-111-540-A
Description: Based on observation, a highchair was not used according to manufacturer's instruction, the safety straps were not used while it was occupied. Evidence: Two children were sitting in highchairs during snack, and they were not fastened with safety straps. This highchairs did not have safety straps.

Plan of Correction: Will make sure straps are used or move to table.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the provider did not obtain an original central registry report within 30 days of employment of a staff member. Evidence: Staff#3 did not have documentation of a central registry report during the inspection.

Plan of Correction: Will do. We didn't think it was needed after finger printing.

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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