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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. 6, 2018

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
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:
MAT training, background checks

An unannounced renewal monitoring inspection was conducted from 10:40 am through 12:45pm. At the time of entrance there were a total of 11 children (34 points) with 3 caregivers. A total of 5 children's files and 5 staff/household member's files were reviewed. The children were engaged in the following: playing with toys, reading books with caregivers, bathroom breaks, hand washing, having lunch and preparing for nap. The lunch menu included rice, baked chicken and milk. The caregiver to children interction was observed to be positive. The family day home area was observed to be clean and organized. Emergency plans/logs and first aid kit was maintained in an up to date manner. A walk through of the house was conducted and the outside play areas was observed to be in good condition. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at or 571-835-4718.

Standard #: 22VAC40-111-750-A
Description: Based on observation, diaper ointment for a child did not have written authorization. Evidence: Child # 1's record did not have the written authorization for a diaper ointment.

Plan of Correction: The child is not using the cream anymore and was discarded during the inspection.

Standard #: 22VAC40-111-750-D
Description: Based on observation, diaper ointment for a child was expired. Evidence: 1. Child # 1's diaper ointment expired in 9/17. 2. Staff # 1 stated that the ointment was only for a rash and not used after that.

Plan of Correction: The cream was discarded during the inspection.

Standard #: 22VAC40-111-70-A
Description: Based on record review, medication policy in children's records were not updated. Evidence: 1. Staff # 1's medication administration training (MAT) expired on 11/26/17. 2. 5 of 5 children's records were reviewed and included the medication policy stating the provider will administer prescription and non prescription medication. 3. Children's records were not updated when the MAT for Staff # 1 expired.

Plan of Correction: I will either update the forms or get the MAT training renewed.

Standard #: 22VAC40-111-90-C
Description: Based on record review, child's record did not have updated immunization records. Evidence: 1. Child # 1's date of birth was 5/3/16. 2. The date of the most recent immunization records was 11/2016. Updated immunization records were not obtained by the provider from the parents.

Plan of Correction: I will ask the parents to provide updated shot records.


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.