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Naheed Hamid
7205 Sumpter Lane
Springfield, VA 22150
(703) 913-7576

Current Inspector: Sharlene Sawyer (571) 835-5505

Inspection Date: Feb. 7, 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
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Child Abuse and Neglect
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.

Comments:
An unannounced monitoring visit was conducted today between the hours of 1:04pm through 4:30pm with the provider on site. There were 12 children (29 points) with the provider and two assistants. A sample of 5 children's files and 7 staff/household member's files were reviewed. The children were engaged in the following: toy play, nap time, snack, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov 571-835-0386.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct and obtain the parent's signed acknowledgement of the review. Evidence: 1. Child A (start date 3/16/2016), Child B (start date 2/25/2014) , Child C (start date 1/24/2017) and Child D (start date 09/26/2016) did not have the parent's signature that a review was completed.

Plan of Correction: I will have them review and sign it.

Standard #: 22VAC40-111-830-C
Description: Based on interview and review of records, the provider did not maintain documentation of emergency evacuation and shelter-in-place drills. Evidence: 1. The provider had documentation of emergency evacuation and shelter in place drills through August 2017, but did not have documentation of the emergency evacuation drill for September 2017 through January 2018. The provider stated she did the drills, but forgot to document it.

Plan of Correction: I will fix it today.

Standard #: 22VAC40-111-100-A
Description: The provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child D (start date 09/26/2016), Child F (start date 02/07/2018) and Child G (start date 02/07/2018) did not have documentation of a physical examination.

Plan of Correction: I will ask for it.

Standard #: 22VAC40-111-120-A
Description: Based on review, the provider did not maintain a record for each caregiver. Evidence: 1. Assistant A began employment on 02/02/2018 and the provider did not have a record for the assistant.

Plan of Correction: I will create a record for the Assistant.

Standard #: 22VAC40-111-120-B
Description: Based on review, the provider did not obtain all required information for the Assistant's records. Evidence: 1. Assistant A was missing name, address, verification of age, job title, date of employment, name, address and telephone number of a person to be notified in an emergency, two or more references and documentation of tuberculosis screening form. 2. Assistant B was missing name, address, verification of age and job title.

Plan of Correction: I will get the information and add to the records.

Standard #: 22VAC40-111-60-B
Description: Based on review, children's records were not complete. Evidence: 1. Child A's file was missing written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately and documentation of parent review emergency information. 2. Child B's file was missing one emergency contact address and child's first day of attendance, name and address of previous child care. 3. Child C's file was missing one parent's place of employment address and work number and the other parent's work number, the child's first day of attendance, the parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70, name and address of previous child care. 4. Child D's file was missing the parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70, proof of identity, immunization record, results of physical exam and authorization for emergency medical care. 5. Child E's file was missing the parent's signed acknowledgement of the receipt of the information required by 22 VAC 40-111-70. 6. Child F and Child G were present during the inspection, however the provider did not have any required information on the children.

Plan of Correction: I will ask the parents for the information.

Standard #: 22VAC40-111-70-A
Description: Based on review, the parents were not provided in writing the required information before the child's first day of attendance. Evidence: 1. Child C, Child E, Child F and Child G were not given the policy for the Administration of Medication form to sign. 2. Child E, Child F and Child G were not given the Provisions of the Emergency Preparedness and response plan to sign. 3. Child E, Child F and Child G were not given the liability insurance declaration form to sign.

Plan of Correction: I will give to the parents to review and sign.

Standard #: 22VAC40-111-80-A
Description: Based on review, the provider did not obtain within seven business days of the child's first day of attendance at the family day home the required information regarding verification of the identity and age of the child and name and location of previous day care programs and schools the child has attended. Evidence: 1. Child B (start date 2/24/2014) and Child C (start date 1/24/2017) did not have documentation of previous day care programs and schools the child has attended. 2. Child D (start date 09/26/2016) did not have documentation that verification of the identity and age of the child had been completed.

Plan of Correction: I will ask the parents for the information.

Standard #: 22VAC40-111-90-A
Description: Based on review, 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. Evidence: 1. Child D (start date 09/26/2016), Child F (start date 02/07/2018) and Child G (start date 02/07/2018) did not have documentation of immunizations.

Plan of Correction: I will ask the parents for the information.

Standard #: 22VAC40-111-170-A
Description: Based on review, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form. Evidence: 1. Assistant A started on February 2, 2018 and did not have documentation of a current Report of Tuberculosis Screening.

Plan of Correction: I will ask her to do it today.

Standard #: 22VAC40-111-180-A
Description: Based on review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: 1. The provider had a Report of Tuberculosis Screening form dated 1/14/2016 and is past two years from the date of the first screening. 2. Household member B had a Report of Tuberculosis Screening form dated 1/15/2016 and is past two years from the date of the first screening. 3. Household member C had a Report of Tuberculosis Screening form dated 1/14/2016 and is past two years from the date of the first screening.

Plan of Correction: I have an appointment tonight for all of us.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review, the provider did not obtain every three years an updated criminal history record check for a family day home employee. Evidence: 1. Assistant B had a criminal record check dated 10/14/2014 and is past three years since the last time it was obtained.

Plan of Correction: She has an appointment for fingerprinting.

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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