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Hamdi Eslaquit
6606 Winstead Manor Court
Lorton, VA 22079
(703) 339-8757

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

Inspection Date: Oct. 15, 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 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed background checks.

Comments:
An unannounced monitoring inspection was conducted today from 12:35pm-4:00pm. There were 10 children (33 points) supervised by 3 direct care staff. The home, 3 staff records, 6 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed transitioning to nap, playing with push toys, eating snack brought from home, and exploring freely. Diapering and handwashing procedures were also observed. 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 #: 22VAC40-111-940-A
Description: Based on observation, the refrigerator temperature was not maintained at or below 40 degrees Fahrenheit. Evidence: The refrigerator temperature was measured at 50 degrees Fahrenheit.

Plan of Correction: I will adjust the temperature.

Standard #: 22VAC40-111-960-E
Description: Based on observation, 2 of 5 bottles were not labeled with the child's full name and date. Evidence: Child #7's (date of birth: 10/19/2017) bottles were not labeled with the current date.

Plan of Correction: Corrected during the time of inspection.

Standard #: 22VAC40-111-120-B
Description: Based on record review, 1 of 3 caregiver records did not contain all of the required information. Evidence: Caregiver B's (date of hire: 10/1/2018) and Caregiver C's (date of hire: 10/1/2018) records did not contain documentation of two or more reference checks.

Plan of Correction: We will do them.

Standard #: 22VAC40-111-60-A
Description: Based on record review and caregiver interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child. Evidence: Child #2 (start date: 10/15/2018) did not have a record on file at the family day home.

Plan of Correction: I will get all information from the parents.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 5 of 5 records reviewed did not contain all of the required information. Evidence: 1. Child #4's (start date: 9/25/2017) record did not contain documentation of parent acknowledgement of the annual review of emergency contact information. The most recent documented review of emergency contact information was dated 9/24/2017. 2. Child #6's (start date: 10/15/2018) record did not contain documentation of proof of identification, mom's work telephone number, medical insurance information, and parent acknowledgement of emergency medical care, information required to be provided to parents by the child's first day, medication authorization, emergency preparedness plan, and liability insurance. 3. Child #7's (start date: 1/22/2018) record did not contain documentation of proof of identification, and medical insurance information. 4. Child #8's (start date: 3/27/2018) record did not contain documentation of father's work telephone number, a completed physical and immunization form signed by a physician, and parent acknowledgement of the emergency preparedness plan. 5. Child #9's (start date: 7/2/2018) record did not contain documentation of proof of identification, mother's work telephone number, a completed physical and immunization form signed by a physician, and parent acknowledgement of the emergency preparedness plan.

Plan of Correction: I give the parents all of the information that is missing and will have them bring it back.

Standard #: 22VAC40-111-170-A
Description: Based on record review, 1 caregiver record, and 1 household member's record did not contain an acceptable report of tuberculosis screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. Caregiver A and Household member B's records contained documentation of a tuberculosis screening on a typed form that did not contain a live signature. 2. The information on the form was inconsistent with the information on the company website. The company name on the form stated "AAR Lorton Imaging Center", and there was no Lorton location listed on the company website. The Woodbridge address listed on the form is different from the Woodbridge address listed on the website. The address listed on the form contains a partial street name ("Jeff Davis Hwy" instead of Jefferson Davis Hwy). 3. Household member A's record did not contain documentation of a completed TB screening form. Household member A resides with the provider temporarily, but interacts closely with the children.

Plan of Correction: I will ask them to send me a new form, and I will get one for the household member.

Standard #: 22VAC40-111-240-A
Description: Based on observation, all areas and furnishings of the family day home were not maintained in a clean, safe, and operable condition. Evidence: 1. Three wooden cribs have chipped and peeling paint along the top edges. 2. Two step trashcans do not work properly, and do not open when the step is pressed.

Plan of Correction: I will get new trashcans, and fix the chipped paint.

Standard #: 22VAC40-111-680-B
Description: Based on observation, a caregiver did not ensure that a child's hands were washed with liquid soap ad warm running water after diapering. Evidence: Caregiver A performed a diaper change for Child #5, and did not wash the child's hands after completing the diaper change, and before feeding the child their bottle.

Plan of Correction: We will be sure to follow the procedures.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, 1 of 3 household member records did not contain documentation of all required background checks. Evidence: Household Member A's (date of birth: 7/17/1942) record did not contain documentation of a completed central registry search, and a completed sworn disclosure statement.

Plan of Correction: I send the central registry check and have the individual complete a sworn disclosure statement.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review and caregiver interview, 1 of 3 household members did not have a completed central registry check within 30 days of becoming 14 years old. Evidence: Household member C's (date of birth: 5/5/2003) record did not contain documentation of a completed central registry check.

Plan of Correction: I will send it out today.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the findings of the most recent inspection of the family day home were not posted. Evidence: The most recent inspection posted was dated 2/1/2017. The most recent inspection performed was on 5/22/2018.

Plan of Correction: I will post today's inspection.

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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