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Roina Mustafa
7702 Tanner Robert Court
Springfield, VA 22153
(703) 569-4084

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date: May 17, 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 Emergencies
22VAC40-111 Nutrition
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

Comments:
An unannounced monitoring inspection was conducted today from 12:20pm-3:00pm. There were 10 children (31 points) supervised by 2 direct care staff. The home, 3 staff records, 10 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed building with blocks, engaging in free play, and transitioning to naptime. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on observation, the family day home did not maintain documentation of all required emergency drills. Evidence: During the time of inspection, there was no documentation of completed shelter-in-place drills within the past year.

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

Standard #: 22VAC40-111-960-E
Description: Based on observation, infant bottles were not labeled with all required information. Evidence: All infant bottles were labeled with the child's first name only. All children's last names and dates were not recorded on their bottles.

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

Standard #: 22VAC40-111-60-B
Description: Based on record review, 4 of 10 children's records did not contain all of the required information. Evidence: 1. Child #3's (start date: 5/1/2017) record did not contain documentation of parent acknowledgement of the receipt of the information required by 22 VAC 40-111-70. 2. Child #5's (start date: 8/28/2017) record did not contain documentation of a completed physical form. 3. Child #6's (start date: 11/2/2017) record did not contain documentation of a second emergency contact. 4. Child #7's (start date: 8/24/2017) record did not contain documentation of completed immunizations.

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

Standard #: 22VAC40-111-180-A
Description: Based on record review, 2 of 3 caregivers did not maintain a current TB screening every two years, as required. Evidence: 1. During the time of inspection, Staff A's most recent documented TB screening was dated 11/1/2014. 2. During the time of inspection, Staff C's most recent documented TB screening was dated 10/2/2015.

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

Standard #: 22VAC40-111-240-A
Description: Based on observation, all areas inside of the family day home were not maintained in a clean, safe, and operable condition. Evidence: 1. There were several areas of peeling paint on the walls in the playroom. 2. 2 doors leading to HVAC/storage rooms were unlocked and accessible to children.

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

Standard #: 22VAC40-111-280
Description: Based on observation, poisonous materials were not inaccessible to children. Evidence: A container of petroleum was sitting on top of the children's playhouse. The container had a label that stated "Keep out of reach of children".

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

Standard #: 22VAC40-111-330-A
Description: Based on observation, a landline telephone was not available, operable, and accessible during the time of inspection. Evidence: The provider stated that there was not a landline telephone available, operable, and accessible during the time of inspection.

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

Standard #: 63.2-1720.1-A
Description: Based on record review, all caregivers do not have documentation of completed background checks, as required. Evidence: Staff C's (hire date: 10/10/2016) record did not contain documentation of a completed central registry background check.

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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