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Amsale Bizuneh
7494 Digby Green
Alexandria, VA 22315
(703) 822-0465

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Feb. 11, 2016

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

Technical Assistance:
1. Reviewed the cleaning procedures of the diaper changing pad. The use of paper does not remove the need to clean and sanitize after each diaper change. 2. Records for children and staff are to be retained for a period of 2 years from the date of termination of services/employment.

Conducted an unannounced renewal inspection. Observed 8 children = 28 points with the Provider + Assistant #1. An adult and child that live in the home were also present in the home. Ratios were in compliance and supervision was constant. Children were eating a morning snack, having indoor free-play, singing/dancing to music, being held and diapered. The caregivers were talking and playing with the children, and promptly tending to their needs. Snack served: bananas, biscuit crackers, and milk. The day care areas were found to be very clean, safeguarded appropriately, and well supplied with toys and equipment for the children. There was newly installed carpet in the main daycare room. Both caregivers obtained the required annual child development training hours. The Provider is currently certified in First Aid/CPR and MAT (medication administration). No transportation reported to be provided. No medications reported to be on-site today. Emergency supplies and plans were in compliance. Required documents were posted. Record keeping is well organized, with one violation found today. Inspection completed 9:45-11:10am. Questions about this report may be directed to:

Standard #: 22VAC40-111-50-E
Description: Based on records reviewed and interviews conducted, it was determined that a portion of a caregiver's record was not maintained for a period of 2 years from the date of termination of employment. Evidence: There was no TB screening on-file for Assistant #3 who reportedly has not worked since December 2015. The Provider stated that she gave the documentation to the Assistant and did not retain a copy for her records. Assistant #3 worked from September-December 2015, and was called to work in the home today, but did not work.

Plan of Correction: Copy found & sent to inspector on 2/12/16


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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.