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Hanna Vaitovich
43299 Stonegarden Terrace
Ashburn, VA 20148
(757) 839-7136

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Oct. 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, and standard #210.A with regards to annual training hours.

Comments:
The following inspection took place between the hours of 10:30 am through 1 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Broadlands, Virginia. At the start of this unannounced renewal inspection there were a total of 8 children (17 points)(including 1 resident child) with 2 caregivers. A total of 8 children?s files, 2 staff files, and 3 household member?s files were reviewed. The children were engaged in the following: a field trip to playground, learning, music, bathroom breaks, hand washing, lunch, toy play, games, lunch, nap time, and other organized activities. If you should have any future questions, please call or send an e-mail. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review, 1 of 8 children's files reviewed indicated that the annual review with the parent of the emergency contact information (required in 22 VAC 40-111-60 B 2 to ensure the information was correct), and obtain the parent's signed acknowledgment of this review did not occur. Evidence - 1. On the date of inspection (10/02/2018), the most current review conducted for the information of Child #3 was dated 06/14/2017. 2. This information was contained within the file of Child #3.

Plan of Correction: The Parent of Child #3 shall be contacted in order to review, update (if needed), and then sign & date.

Standard #: 22VAC40-111-60-A
Description: Based on review, 2 of 8 children's files reviewed indicated that not all of the required information/documentation was contained within each child's record. Evidence - 1. On the date of inspection (10/02/2018), the following information/documentation was not available for review: 1 of 2 emergency contact information was listed for Child #1; the Information for Parents form for Child #1 and for Child #7 (not signed); a regular field trip permission form for Child #1, and the Family Day Home Policy for the Administration of Medication form for Child #1, and for Child #7 (not signed). 2. The start date for Child #1 was listed as 10/02/2018, and the start date for Child #7 was listed as 10/01/2018.

Plan of Correction: All missing information/documentation shall be obtained and placed in the applicable child's file.

Standard #: 22VAC40-111-210-A
Description: Based on review, 0 of 2 staff files reviewed indicated that (in addition to satisfactory completion of first aid training and CPR training), both caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence - 1. On the date of inspection (10/02/2018), both Staff 1, and Staff #2 did not complete the required 16 hours of annual training for the past annual year. 2. Although, the training does not count towards annual hours, CPR and First Aid was completed and on file.

Plan of Correction: All staff shall complete all required training hours for this coming annual year.

Standard #: 63.2-1809.1-A
Description: Based on review, 2 of 8 children's files reviewed indicated that not all have a signed notice of liability form on file. Evidence - 1. On the date of inspection (10/02/2018), a signed notice of liability was not available for: Child #1, and Child #7. 2. Both children were present during today's inspection.

Plan of Correction: A signed notice shall be obtained and placed on file for both children.

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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