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Rukhsana Khalid
8020 Imperial Street
Alexandria, VA 22309
(703) 799-0286

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Oct. 16, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
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:
Discussed with provider: maintaining resilient surfacing on the playground, staff records, cribs, emergency drills, background checks.

Comments:
An unannounced renewal inspection was conducted from 9:35am 11:45am. There were no children present during this inspection. 4 staff/household member records and 1 child's record was reviewed. There were no medications on site. Emergency drill records, emergency supplies and the playground were reviewed. A complete walk through of the family day home was conducted. Areas of non compliance are listed in the violation notice. For any questions regarding this inspection, please contact me at 571-835-4718 and mahrukh.aziz@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on record review and staff interview, provider has not practiced the shelter in place drills twice a year. Evidence: Caregiver # 1 stated that she has the form to record shelter in place drills, but she has never practiced the drill. Caregiver # 1 had blank shelter in place forms.

Plan of Correction: I will practice a shelter in place drill this week.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the provider did not obtain additional immunization records for children under the age of two. Evidence: The most recent immunization records Child # 1's file were dated 6/15/17. Additional immunization records were not obtained every 6 months.

Plan of Correction: I will ask the parent to provide me with updated shot records.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain a subsequent tuberculosis (TB) screening for an adult household member every two years. Evidence: Household Member # 1's most recent TB screening was dated 10/11/16. The TB screening expired on 10/11/18 and an updated TB screening was not obtained.

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

Standard #: 22VAC40-111-200-A
Description: Based on staff interview, provider did not orient the substitute provider by the end of their first week of assuming job responsibilities. Evidence: 1. Caregiver # 1 stated that Caregiver # 2 is her substitute provider. 2. Caregiver # 1 stated that she did not do an orientation training with Caregiver # 2.

Plan of Correction: I will complete orientation this week.

Standard #: 22VAC40-111-210-B
Description: Based on record review, caregiver did not have the child abuse and neglect training. Evidence: Caregiver # 2 had training certificates to cover various topics but there was no documentation to show taht she had completed the child abuse and neglect training.

Plan of Correction: I will have her complete the training.

Standard #: 22VAC40-111-500-D
Description: Based on observation, S" hooks shall were not tightly closed. Evidence: The S hooks for two swings on the playground equipment were not closed tightly. The openings for the S hooks were wider than the measurement of a dime.

Plan of Correction: I will tighten the S hooks today.

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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