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Ms. Hirut Yigezu
4012 Cairo Place
Woodbridge, VA 22192
(571) 239-9535

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: April 3, 2019

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.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An Unannounced Renewal Inspection was conducted today from 10:40am to 12:40pm. There were 10 children (23 points) directly supervised by 2 staff. The home, 2 staff records, 10 child'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 preparing for and eating lunch. 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 this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov).

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the provider did not have the required minimum items in the first aid kit. Evidence: Observed that the first aid kit was missing the following: gauze pads, adhesive tape and 2 triangular bandages.

Plan of Correction: Will buy missing items.

Standard #: 22VAC40-111-920
Description: Based on review and observation, the provider did not document any adjustments in the menu, including any substitutions. Evidence: Reviewed the menu and found that the provider listed tuna, green beans, carrot and raisin salad and rice as the children's lunch today, but observed that the children were given chicken nuggets and mashed potatoes during the visit.

Plan of Correction: Will update menu

Standard #: 22VAC40-111-60-B
Description: Based on review, the provider did not ensure that they were maintaining children's records with the required information. Evidence: Reviewed 10 children's records and found that... 1. 3 (Child 1, 2, 8) had parent(s) that were working work addresses and/or telephone numbers. 2. 6 (Child 2, 6, 7, 8, 9, 10) did not have documentation of the parent(s) annual review/update 3. 1 did not have documentation of Child 3's initial date of attendance. 4. 1 did not have documentation of Child 3's second emergency contact.

Plan of Correction: I will get them done immediately

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider did not ensure that child resistant protective covers were installed on all unsued electrical outlets accessible to children under 5 years of age. Evidence: Observed that the children walked from the front door to the basement stairs when dropped off or picked up, and that there were 3 uncovered outlets along the walls between the front door and the basement steps.

Plan of Correction: Will buy more outlet covers.

Standard #: 63.2-1720.1-B-2
Description: Based on review, the provider did not ensure that staff submitted to fingerprinting and provide personal descriptive information prior to the first day of employment. Evidence: Reviewed the provider's records and found that the assistant did have documentation of the fingerprinting check, but instead had documentation of completing the outdated VA State Police 230 form.

Plan of Correction: Will obtain documentation of the fingerprinting check.

Standard #: 63.2-1720.1-B-3
Description: Based on review, the provider did not ensure that the new assistant obtained any abuse and neglect registry or equivalent registry check maintained by another state in which the individual has resided in the preceding five years. Evidence: Reviewed the provider's record and found that the assitant has been employed for other 30 days, and a has lived out of state within the past 5 years, but did not have any documentation that an out of state CPS check has been completed.

Plan of Correction: Will submit for the out of state CPS check.

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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