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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Brittney Duff
1400 N. Dinwiddie Street
Sterling, VA 20164
(703) 622-6704

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Aug. 26, 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
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Discussion was held on the topics of current enrollment, current make up of household, and repeat violations cited.

The following inspection took place between the hours of 9:30 am through 12:30 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Sterling, Virginia. At the start of this unannounced monitoring inspection there were a total of 8 children (2 were children who were residents)(a total of 19 points) with 1 caregiver. The second caregiver arrived approximately 15 minutes later (see violation notice). A total of 6 children?s files, 2 staff files, and 4 household member?s files were reviewed. The children were engaged in the following: toy play, games, movie time, large skilled activities outside, infant feeding, getting ready for lunch, 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

Standard #: 22VAC40-111-60-B
Description: Based on review, 2 of 6 children's files indicated that not all of the required documentation/information was contained within each child's record. Evidence - 1. On the date of inspection (08/26/2019), the following documentation/information was not available for Child #4 and Child #6: two complete Emergency Contact Information (the address for each emergency contact was not listed), Child's Medical Insurance (to include the Name of Insurance and Policy Number), and Emergency Medical Authorization (a signed statement by each child's parent granting the Provider to act in such an emergency). 2. Only 1 of 2 emergency contacts were listed for Child #5.

Plan of Correction: All missing documentation/information shall be obtained and placed on file.

Standard #: 22VAC40-111-90-A
Description: Based on reviewed, 3 of 6 children's files indicated that the Provider did not obtain documentation that the child has been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations) before the child may attend the Family Day Home (FDH). Evidence - 1. On the date of inspection (08/26/2019), the immunization page was not available for both Child #5 and Child #6. The start date for Child #5 was listed as 08/26/2019. The start date for Child #6 was not listed. 2. Both Child #5 and Child #6 were present on the date of inspection.

Plan of Correction: This missing documentation shall be obtained and placed on file.

Standard #: 22VAC40-111-180-A
Description: Based on review and interview, 2 of 2 staff files reviewed and 1 of 4 household files reviewed indicated that the Provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis (TB) Screening form (in accordance with the requirements in 22 VAC 40-111-170), every two years from the date of the most current documentation on file. Evidence - 1. On the date of inspection (08/26/2019), the following staff had TB documentation on site that were older than 2 years: Staff #1 (TB documentation was dated - 03/17/2016) and Staff #2 (TB documentation was dated - 02/09/2017). 2. The following household member had TB documentation on site older than 2 years: Household Member #1 (TB documentation was dated - 04/25/2016). 3. This same standard was previously cited during inspections conducted on 11/07/2018, and on 02/22/2019.

Plan of Correction: This documentation shall be obtained and placed on file.

Standard #: 22VAC40-111-240-A
Description: Based on observation, one area of the Family Day Home (FDH) has not been maintained in a safe condition. Evidence - 1. On the date of inspection (08/26/2019), two holes were observed the left side of the stairwell as one walks down into the day care area. 2. These two holes (uncovered) were above the bottom step. 3. This standard was previously cited during an inspection conducted on 02/22/2019.

Plan of Correction: Will repair. In the meantime, will cover until fixed more permanently.

Standard #: 22VAC40-111-430-A
Description: Based on observation, children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision had access to stairs. Evidence - 1. On the date of inspection (08/26/2019), the stairs leading from the childcare area and up to the main floor does not have a mounted gate to prevent access. 2. On the date of inspection, there were 2 children under the age of two years. 3. This standard was previously cited during an inspection conducted on 02/22/2019.

Plan of Correction: A mounted gate shall be installed.

Standard #: 22VAC40-111-570-A
Description: Based on observation and interview, the Family Day Home (FDH) did not ensure that the ratio would exceed 16 points per caregiver. Evidence - 1. On the date of inspection (08/26/2019), from the start of the inspection at approximately 9:30 am through 9:45 am there were 8 children on site (19 points) with 1 caregiver (Staff #2). The children consisted of 6 children in care and 2 children that were residents. 2. Staff #2 stated (during an interview conducted on the date of inspection) that Staff #1 was out to buy dog food. 3. Staff #1 arrived at the FDH at approximately 9:45 am. 4. This same standard was cited previously during an unannounced inspection conducted on 02/23/2018.

Plan of Correction: Such items in the future shall be purchased after the children in care have left or where and when the points shall allow.

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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