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Azeb Idris
6132 Summer Park Lane
Alexandria, VA 22315
(703) 850-5422

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Sept. 12, 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
22VAC40-80 THE LICENSE.
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.

Technical Assistance:
Consultation was provided on the following: appropriate use of children's equipment, emergency supplies, emergency drills renewal of license.

Comments:
An unannounced renewal inspection was conducted from 10:20am to 1:00pm. There were 10 children (26 points) in direct care and supervision of 3 caregivers. The children were observed playing outside, playing with toys, eating lunch, washing hands and taking naps. There were no medications on site. Emergency drill records, emergency preparedness plan and first aid kit/supplies were reviewed. A walk through of the family day home was conducted. 6 children's records in addition to 3 staff and 3 household member records were reviewed. Areas of non compliance are listed in the violation notice. For any question regarding this inspection, please contact me at 571-835-4718.

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on record review, shelter in place drills were not practiced a minimum of twice per year. Evidence: The emergency drill record showed that the most recent drill was done in August 2017. A second shelter in place drill was not conducted after that date.

Plan of Correction: I will remember to conduct two shelter in place drills each year.

Standard #: 22VAC40-111-50-A
Description: Based on record review, the family day home did not maintain written attendance of children each day. Evidence: Review of the attendance record for 9/12/18 indicated that attendance for only 1 of 10 children was recorded. Attendance was not recorded for the other 9 children in care.

Plan of Correction: I will keep record attendance on time.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the family day home did not obtain additional immunization records for children under the age of two years. Evidence: Child # 1's most recent immunization records were dated 11/2017. Additional immunization records were not obtained after that date.

Plan of Correction: I have asked the parent to bring in updated shot records and will remind again.

Standard #: 22VAC40-111-170-A
Description: Based on record review, provider did not obtain an initial Tuberculosis (TB) screening from caregivers prior to coming into contact with the children. Evidence: Staff # 1 was hired on 9/10/18. Staff # 1's record did not have the results of a TB screening.

Plan of Correction: Staff will bring in a TB screening ASAP.

Standard #: 22VAC40-111-180-A
Description: Based on record review, he provider did not obtain for each caregiver a current report of tuberculosis (TB) screening form every two years from the date of the first screening. Evidence: Staff # 2's most recent TB screening was dated 8/10/16. Staff # 2's TB screening expired on 8/10/18.

Plan of Correction: I will get an updated TB screening.

Standard #: 22VAC40-111-200-A
Description: Based on record review, provider did not complete orientation training with assistant by the end of the first week of employment. Evidence: 1. Staff #3 was hired on 5/14/18. 2. Staff # 3's record did not have any documentation to show that she had received the orientation training from the provider.

Plan of Correction: I will complete the orientation training with my staff as soon as possible.

Standard #: 22VAC40-111-370-A
Description: Based on observation, the home was not free from insect infestation. Evidence: Ants were observed in the family day home where the children's cubbies, had formula and milk bottles stored and the area around the diaper changing pad.

Plan of Correction: The ants started showing last week when the formula was moved in that area. We will place the formula in another spot and treat for ants.

Standard #: 22VAC40-111-480-D
Description: Based on observation and staff interview, equipment used by children was not used in accordance with the manufacturer's instructions. Evidence: 1. An infant, 5 months of age, was observed sleeping in an infant bouncer. The bouncer was placed inside a crib in the nap room. 2. Staff # 2 stated that the infant had fallen asleep in the bouncer and she moved the bouncer into the crib. 3. Approximately 10 minutes after the beginning of the inspection, the infant woke up and was removed from the bouncer.

Plan of Correction: I will not place the bouncers in the cribs and move sleeping infants into cribs once they have fallen asleep.

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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