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Nargis Akbar
5787 Valley View Drive
Alexandria, VA 22310
(703) 922-7156

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

Inspection Date: Aug. 15, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 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
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Facilities and Programs

Technical Assistance:
Discussed warming food, high chairs, and outdoor play.

Comments:
An unannounced monitoring inspection was conducted today from 11:45am-2:45pm. There were 8 children (26 points) supervised by 3 direct care staff. The home, 3 caregiver records, 5 children?s records, 1 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed reading books, eating lunch, napping, and playing 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 #: 22VAC40-111-760-A-1
Description: Based on observation, the first aid kit did not contain all of the required items. Evidence: The first aid kit did not contain adhesive tape.

Plan of Correction: I will buy one.

Standard #: 22VAC40-111-960-E
Description: Based on observation, the provider did not ensure that infant bottles were labeled with the child's full name and the date, if more than one infant is in care. Evidence: 1. 8 infant bottles were sitting out throughout the family day home and were not labeled with the date. 2. 1 infant bottle was in the refrigerator and was not labeled with the child's name and date.

Plan of Correction: I will add the name and dates today.

Standard #: 22VAC40-111-120-B
Description: Based on record review, 2 of 3 caregiver records did not contain documentation of all required information. Evidence: 1. Caregiver B's (doh: 3/11/2019) record did not contain documentation of emergency contact information, 2 completed reference checks as to character and reputation, and proof of education and training. 2. Caregiver C's (doh: 5/15/2017) record did not contain documentation of 2 completed reference checks as the character and reputation.

Plan of Correction: We will complete all missing information today.

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: The provider is licensed for 7 children and had 8 children in care.

Plan of Correction: There is an additional child present only for today.

Standard #: 22VAC40-111-50-A
Description: Based on record review and caregiver interview, the provider did not maintain a written record of children in attendance each day. Evidence: The attendance sheet did not contain Child #1's name. Caregiver A stated that Child #1's name was not written because the child was only attending for that day.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-60-A
Description: Based on record review and caregiver interview, 1 of 8 children did not have an up-to-date record at the family day home. Evidence: Child #1 (start date: 8/15/2019) did not have a record at the family day home.

Plan of Correction: I will make sure that all children in care have a complete file.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 3 of 5 children's records did not contain all of the required information. Evidence: 1. Child #2's record did not contain documentation of a complete address for the second emergency contact person. 2. Child #5's record did not contain documentation of parental acknowledgement of the review of the child's emergency contact information as required by 22 VAC 40-111-780 B. The most recent documented parental review was dated 7/24/2018. 2. Child #6's record did not contain documentation of up-to-date immunization records.

Plan of Correction: I will have parents update all information.

Standard #: 22VAC40-111-90-C
Description: Based on record review, 1 of 5 children's records did not contain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #6's (dob: 11/9/2016) most recent immunization record was dated 5/12/2018.

Plan of Correction: I will ask the parents for an updated copy.

Standard #: 22VAC40-111-280
Description: Based on observation, the provider did not ensure that potentially poisonous substances were stored away in areas inaccessible to children. Evidence: 1. A container of clorox wipes was sitting out on shelf next to infant bottles.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-590-B
Description: Based on observation, the provider failed to ensure that one infant child who fell asleep in a play space other than his or her own crib, cot, mat, or bed shall was moved promptly to his or her designated sleeping space. Evidence: Child #1 fell asleep in a bouncy chair at approximately 11:55 and was not moved until approximately 12:30.

Plan of Correction: Moving forward, we will be sure to move children to their cribs when they fall asleep.

Standard #: 22VAC40-111-680-B
Description: Based on observation, caregivers did not ensure that children's hands were washed with liquid soap and warm running water before eating. Evidence: All children were placed in the high chairs and began eating lunch without washing their hands.

Plan of Correction: We will wash children's hands before they eat.

Standard #: 22VAC40-111-690-E
Description: Based on observation, the provider did not maintain a storage system for soiled disposable diapers and wipes that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: When changing a child's diaper, Caregiver C lifted the trash can lid with her hands to dispose of the soiled diaper and wipes.

Plan of Correction: Trash can lid was fixed during 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.

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