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Frishta Rahim
7775 Clifton Road
Fairfax station, VA 22039
(703) 789-5626

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: April 11, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
It is recommended that the provider use the Division's model form to document all emergency evacuation drills. Reviewed requirements for proper disposal of soiled diapers. Also reviewed requirements for required handwashing procedures. The provider has received approval from Fairfax County to increase capacity to 12 children. The provider has requested this license modification. If approved, in order to increase capacity, the license age range must be changed to birth-4 years old.

Comments:
An unannounced monitoring inspection was conducted today. The provider and one assistant caregiver were caring for 7 children, totaling 20 points. Children's records, caregiver training, caregiver records, background checks, the indoor/outdoor physical plant, children's nutrition, caregiver:child interactions, and emergency preparedness items were inspected today. The children were observed eating morning snack, playing with toys, and interacting with each caregiver. The children were to be served chicken nuggets, strawberries, broccoli, and milk for lunch later today. This inspection was completed between approximately 9:45 am and 11:15am. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virgina.gov

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a review of children's health records, it was determined that the provider did not obtain a physical exam report within 30 days of each child's first day of attendance. Evidence: There is no physical exam report in the file for child A, child C, and child D. Each child has been in care for more than 30 days.

Plan of Correction: I will ask each parent to bring the physical exam report on the correct form.

Standard #: 22VAC40-111-110-B
Description: Based on a review of children's health records, it was determined that one shot record has not been completed as required. Evidence: The shot record for child B does not include the physician's signature.

Plan of Correction: I will ask the parent for a shot record signed by the doctor.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that one record was not complete. Evidence: Child record A does not include the father's work phone number.

Plan of Correction: I will ask the parent to update the record.

Standard #: 22VAC40-111-90-C
Description: Based on a review of children's shot records, it was determined that the provider did not obtain updated immunization records once every 6 months as required. Evidence: Child C is age 11 months. The most recent shot record in this child's file was completed at age 1 month.

Plan of Correction: I will ask the parent for an updated shot record.

Standard #: 22VAC40-111-200-A
Description: Based on a review of caregiver training records, it was determined that the provider did not conduct orientation training for the assistant caregiver as required. Evidence: There is no documentation of completed Orientation Training for the current assistant caregiver.

Plan of Correction: We reviewed the training topics but didn't complete the documentation. I will complete the documentation.

Standard #: 22VAC40-111-680-B
Description: Based on observations, it was determined that the provider did not ensure the children's hands were washed as required prior to eating snack. Evidence: The children were observed eating and being served their morning snack. The children did not wash their hands with soap and water prior to eating.

Plan of Correction: We wipe their hands with wipes before snack. I will make sure we wash their hands at the sink before eating any and all meals/snacks.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on a review of caregiver background checks, it was determined that the provider did not complete one required background check within 30 days as required. Evidence: Assistant caregiver A began employment in August, 2018. The provider has not submitted a Virginia Central Registry background search request.

Plan of Correction: We will complete the search request form and submit documentation of the completed request form to my Inspector within 10 days.

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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