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Ngoc Nguyen
7664 Henry Knox Drive
Lorton, VA 22079
(703) 864-0954

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: Oct. 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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child abuse and neglect
63.2 Facilities and Programs

Technical Assistance:
Reminder: Required Postings

Comments:
An unannounced renewal inspection was conducted today between 9:00 am and 1:00 pm. There were 12 children (28 points) with 2 caregivers. The children were observed hand washing, during diaper changes, playing with play dough,watching a video and eating lunch. Lunch consisted of Chicken meatballs, rice, eggs,spinach,bananas and milk. The physical plant, attendance logs, evacuation logs, emergency plans, children's records, caregiver's records, household member's records, menu's, cribs, evacuation logs, and emergency supplies were inspected. There were no medications on site.Areas of non compliance were cited on the Violation Notice. If you have any questions, please contact me at Tanya.Johnson1@dss.virginia.gov or call me at 571.423.6392.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review of the first aid kit, the provider failed to ensure that the first aid kit was complete.

Evidence:
The first aid kit was missing the following items:
scissors, tweezers, antiseptic cleaner and two triangular bandages.

Plan of Correction: I will purchase these items.

Standard #: 22VAC40-111-780-B
Description: Based on a review of children's records, the provider failed to ensure that children's records had the annual update of the emergency information ant that parents acknowledged it with a signature.

Evidence:
Child # 2, #3 and #5's records did not have documentation of an annual review and parent acknowledgement with signature.

Plan of Correction: I will review files annually.

Standard #: 22VAC40-111-790
Description: Based on observation, the provider did not have the telephone number posted for emergency backup caregiver posted.

Evidence:
Emergency caregiver information was not documented.

Plan of Correction: I will post that information today.

Standard #: 22VAC40-111-800-B
Description: Based on a review of the emergency plan, the provider failed to ensure that the emergency plan was reviewed annually and updated as needed. The provider also failed to document in writing each review and update.

Plan of Correction: I have updated plan annually, I just had the paper with the wrong dates. I will replace with the correct paperwork.

Standard #: 22VAC40-111-830-A
Description: Based on a review of the emergency evacuation log, the provider failed to ensure that the evacuation procedure will be practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence:
There was no documentation that evacuation drills were completed November and December 2018 or January, May, June, July, August or September 2019.

Plan of Correction: I will complete fire drills monthly.

Standard #: 22VAC40-111-830-B
Description: Based on a review of evacuation logs, the provider failed to ensure that shelter in place procedures will be practiced a minimum of twice per year.

Evidence:
There was no documentation of shelter in place procedures practiced in 2018 or from January through September 2019.

Plan of Correction: I will complete shelter in place drills two times per year.

Standard #: 22VAC40-111-60-A
Description: Based on a review of children's records, the provider failed to maintain up to date records for each child enrolled.

Evidence:
1) Child #1's record does not have documentation of medical insurance.
2) Child #3's record does not have documentation of authorization of emergency pick up person(s).
3) Child #1 and # 4's records do not have documentation of a medical insurance policy number.
4) Child #4's record did not have addresses for both emergency contacts.

Plan of Correction: I will get the information from parents and place in children's files.

Standard #: 22VAC40-111-210-A
Description: Based on a review of training records, the provider failed to ensure that the provider and caregivers failed to obtain 16 hours of annual training hours.

Evidence:
There was no documentation of training hours.

Plan of Correction: I will obtain 16 hours of training annually.

I will assure that my caregivers will obtain 16 hours of training annually.

Standard #: 22VAC40-111-280
Description: Based on observation, the caregiver failed to ensure that poisonous substances will be stored away from areas accessible to children.

Evidence:
1) Hand sanitizer was stored on the table accessible to chidlren.
2) Diaper cream was stored in a drawer in the bathroom accessible to children.
3) Bleach water was stored in the bathroom in the tub accessible to children.

Plan of Correction: I will move hand sanitizer, diaper cream and bleach water so that it is inaccessible to children.

Standard #: 22VAC40-111-600-A
Description: Based on observation, the provider did not offer care as required.

Evidence:
Child #4 was observed awake and lying in the crib between 9:00 am and 9:30, neither caregiver was seen playing with the child, talking to the child or interacting with the child in any way. They did not provide the child with toys, encouragement or stimulation.

Plan of Correction: We will remember to check on awake infants every 10 minutes. We will have conversations and remove them from the crib and place them in carriers were we can offer them toys and include them in activities.

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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