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Laiba Sheikh
5723 Triplett Drive
Centreville, VA 20120
(703) 881-6452

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: Aug. 29, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed with the provider the importance of infants being held while drinking bottles and the hazards of allowing children to fall asleep in chairs with bottles in their mouths. Reminded provider of fingerprinting requirements for all caregivers and household members that must be completed no later than 9/30/2018.

Comments:
Today an unannounced Monitoring inspection took place between 10:30am and 2:10pm. There were 11 children present with the provider and 1 assistant for a total of 30 points within the supervision guidelines. The children were observed coloring with markers, singing songs, playing outside, eating lunch (rice, peas, apple slices and milk) and napping. Diaper changing procedures were observed. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at whitney.mcgrath@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-960-B
Description: Based on observation, an infant who could not hold their own bottle was not held for a bottle feeding. Evidence: 1. Child #1 was observed being placed into a rocking chair and given a bottle of milk. Caregiver #2 propped the child's hands up to hold the bottle in place. The child dropped the bottle approximately 8 or 9 times because they did not have the grasping skills to hold the bottle in place. Each time the child dropped the bottle the caregiver repositioned the child's arms and hands to prop the bottle back into the child's mouth. After approximately 10 minutes of dropping the bottle, the child gave up on trying to drink their bottle and the child was removed from their chair to move onto another activity.

Plan of Correction: I will let her know that she will need to hold the babies until they are ready to hold the bottle on their own.

Standard #: 22VAC40-111-210-A
Description: Based on record review, caregiver's did not obtain 16 hours of annual training. Evidence: Caregiver #3 has not obtained any training since 5/2013.

Plan of Correction: She told me she did it and I will have her print it.

Standard #: 22VAC40-111-250-C
Description: Based on observation, there is a toy hanging from the side of a crib with with an infant that is 12 months old. Evidence: There is a 12 months old sitting up in their crib and there is a toy with a stringing hanging from the side of the crib.

Plan of Correction: I will remove it now.

Standard #: 22VAC40-111-480-D
Description: Based on observation, equipment used by children was not used in accordance with the manufacturer's instructions. Evidence: 1. Two infants were placed into small feeding chairs and a third child was placed into a bumbo chair. All of the chairs had buckles for the children to be strapped in. All three children were not buckled into their seats by the caregivers. 2. During nap time, one child did not want to nap and wanted to be with the provider. The provider placed the child in a high chair and buckled them in without the tray in front of them. The provider then started to clean up from lunch. After the provider was finished cleaning from lunch she attached the tray to the chair and gave the child some paper with crayons.

Plan of Correction: He has the tray in front of him now, I will make sure it's done right away. I'll talk to my assistant about buckling the infants in.

Standard #: 22VAC40-111-600-B
Description: Based on observation infants and toddlers spend more than 30 consecutive minutes confined to high chairs, rocking chairs and other pieces of equipment. Any intervening time between confinements did not last at least an hour. Evidence: During the entire duration of today's inspection, Child #3 and Child #4 were observed confined to either a high chair, a bumbo chair or a rocking chair. Child #2 was observed on the floor briefly, however when they began to crawl into another room the child was quickly placed into another chair. The children were not observed playing and exploring inside the home or during outside play. During outdoor play the children's small chairs were brought outside and the children were confined to their seats.

Plan of Correction: I will have a meeting with my assistant so that she understands the rule and that the toys need to be ready to stimulate the children and so that they can play.

Standard #: 22VAC40-111-680-A
Description: Based on observation, caregiver's did not wash their hands immediately after diapering a child. Evidence: Caregiver #2 was observed changing an infants diaper. After the caregiver was finished, she placed the child into a feeding chair, placed a tray in front of the child, repositioned another child's bottle, opened the gate that separates the infant area from another play area, and then entered the bathroom to wash her hands.

Plan of Correction: We will make sure the gate is open during diaper changes and all food is already prepared so that she can wash hands right after diaper changes.

Standard #: 22VAC40-111-680-B
Description: Based on observation, caregivers did not ensure that children's hands were washed after a diaper change. Evidence: Caregiver #2 was observed changing a child's diaper. When the caregiver was finished, the child was placed into a feeding chair without having their hands washed.

Plan of Correction: I will make sure that she is doing that.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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