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Ms. Abenaa Sakyi
4505 Glendale Road
Woodbridge, VA 22193
(703) 867-3244

Current Inspector: Shawanda M Henderson (540) 216-1434

Inspection Date: July 21, 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 Nutrition
22VAC40-80 THE LICENSE.
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:
Discussion and consult regarding spacing between meals, disposal of food, menus, diapering area, hand washing, attendance and physical plant: clean, safe and operable.

Comments:
An unannounced monitoring inspection was conducted beginning at 12:45 p.m. and ending at 2:30 p.m. with the provider. There were five children in care ranging in age from eight months to nine years of age for a total of eleven points. Children were observed having free play with blocks and other toys. An infant was observed sleeping and during diapering. Five children's records, one provider record and one household member record were reviewed. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the office by August 8, 2016 at 5:00 p.m. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have questions regarding this inspection, contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-870-C
Description: Based on observation and interview with the provider, there were more than three hours between meals. Evidence: Breakfast was served at 9:00 a.m. and there was no snack offered to the children in care. At 1:15 p.m., children had not been served lunch.

Plan of Correction: Provider will ensure that food/snack will be served every three hours as indicated

Standard #: 22VAC40-111-870-F
Description: Based on observation, leftover food was not discarded following meals. Evidence: At 1:00 p.m. there were two bowls of leftover cereal and milk observed on the table in the front daycare area. Breakfast had been served at 9:00 a.m.

Plan of Correction: Leftover food was properly discarded and bowls washed and clean. Provider will ensure that every meal, leftover food is properly discarded and bowls washed.

Standard #: 22VAC40-111-920
Description: Based on observation, the menu was not dated as required. Evidence: The menu was not dated with the month or year.

Plan of Correction: Provider will ensure that every menu will be dated with the month and year as required by the provider

Standard #: 22VAC40-111-940-A
Description: Based on observation, the temperature in the refrigerator used to store milk and bottles for the children in care was not at or below 40 degrees. Evidence: The fridge temperature was measured at 42 degrees Fahrenheit.

Plan of Correction: The Fridge temperature has been reset to 40 degree. Provider will ensure that fridge temperature will always be 40 degree or below

Standard #: 22VAC40-111-50-A
Description: Based on review of documentation and interview with the provider, it was determined the provider failed to keep a written record of children in attendance each day. Evidence: The provider had not taken attendance since April 2016.

Plan of Correction: All written records of children in attendance were checked and ratified. Provider will ensure that attendance is taken and recorded on a daily basis.

Standard #: 22VAC40-111-60-B
Description: Based on review of documentation, not all children's records were complete. Evidence: Child A, enrolled 5/16/16, and Child C, enrolled 7/27/2015, did not have a second emergency contact that included full address and telephone number.

Plan of Correction: All enrolled children records including emergency contact persons full address and phone numbers will be completed by provider

Standard #: 22VAC40-111-240-A
Description: Based on observation, not all areas of the family day home were maintained in a clean, safe and operable condition. Evidence: There is chipped and peeling green paint on the wall in the large childcare area. In an open closet area, there is splintered and cracked wood on the right side. There is broken, cracked drywall on the edge of the wall in the large childcare area. There is chipped paint and rough edges on a shelf in the large childcare area. The door frame has broken and chipped wood. There are several areas of chipped paint and drywall on the edge of the wall near the gate. In the bathroom used by children in care, the cold water handle is missing on the sink. In the front childcare area, the large wooden cabinet has a broken door that is propped by the attached door; when opening the attached door, the broken door falls off. There was a broken blue chair with a large crack in the seat in the front child care area. The wood on the door frame is broken on the right bottom in the front child care area.

Plan of Correction: Provider will ensure that all areas of the family day home are maintained in clean, safe, and operable condition. In addition provider has taken the following measures: Child care rooms will be re-painted, old water handle on bathroom sink is replaced, broken blue chair has been removed, the broken wood on the bottom of the door frame will be fixed

Standard #: 22VAC40-111-370-A
Description: Based on observation, the family day home failed to keep the home free from insect infestation. Evidence: There were roaches observed crawling on the bottom of a wooden chair in the front daycare area. The provider is currently under contract with an exterminator for german cockroaches for treatments every other month; however, the duration of these treatments does not appear to be sufficient and extra cleaning has not been done to keep the home as safe as possible until the insects are exterminated.

Plan of Correction: Provider is making efforts to keep the home free from insect infestation. Provider has reviewed and modified the contract agreement with an exterminator for german cockroaches monthly instead of every other month. Provider will ensure that extra cleaning is done to keep home safe.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider failed to ensure children's hands were washed after diapering. Evidence: After diapering an eight month old, the provider did not wash the child's hands.

Plan of Correction: The provider will ensure that after changing children/infants provider will wash their hands

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface was not nonabsorbent. Evidence: The diapering pad had several tears and rips in the nonabsorbent cover which exposed the soft filling inside.

Plan of Correction: The old diaper changing pad has been removed and replaced with a new one

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.

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.

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