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Feriha Ibrahim
7233 Barry Road
Alexandria, VA 22315
(571) 218-0930

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Nov. 29, 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
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs
22VAC40-665 Subsidy Program Vendor Requirements for Family Day Homes
22VAC40-665 Special Services

Technical Assistance:
Technical assistance was provided regarding training hours, shelter in place drills and daily activities for the children. When the TB screening is completed email the results to nancy.radcliffe@dss.virginia.gov.

Comments:
An unannounced renewal inspection was conducted today from 9:00am-1:00pm. There were 9 children (26 points) supervised by 2 direct caregivers. The home, programming, staff records, children?s records, household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed engaging freely and eating their lunch. Diapering procedures were also observed. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, please contact Nancy Radcliffe at 703-268-3728 or nancy.radcliffe@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on review of children's records, there is no documentation of annual review of emergency contact information. Evidence: Children # 1,2,3,4,5,6 and 7 do not have documentation of an annual review of emergency contact information.

Plan of Correction: I will have the parents review and sign off on the emergency contact information.

Standard #: 22VAC40-111-830-B
Description: Based on review of emergency procedures, there is no documentation of shelter in place drills. Evidence: Only documentation of fire drills were available.

Plan of Correction: I will make sure to document our shelter in place drills twice a year.

Standard #: 22VAC40-111-890
Description: Based on observation, when food is brought from home, it is not clearly labeled to identify who it belongs to. Evidence: Children's lunch boxes and contents were not labeled with child's name.

Plan of Correction: Corrected during inspection and I will make sure all lunch boxes are labeled with their full name and date.

Standard #: 22VAC40-111-940-B
Description: Based on observation, the provider does not have an operable thermometer in the refrigerator or freezer. Evidence: There was not a thermometer available to monitor the refrigerator or freezer temperatures.

Plan of Correction: I will get a thermometer and keep it in the refrigerator.

Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles brought from home are not being refrigerated and labeled with child's full name and date. Evidence: Bottles with an ice pack were located in each child's lunch box. Bottles were not labeled with child's full name and date.

Plan of Correction: Corrected during inspection and I will put label each bottle with child's full name and date and put them in the refrigerator.

Standard #: 22VAC40-111-120-B
Description: Based on review of caregivers records, one record does not contain the required information. Evidence: Caregiver #2 has an a record that is missing the first date of employment, emergency contact information, and reference check information.

Plan of Correction: I will update the information

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, not all records are complete. Evidence: Children #1, 3,4,5,6 and 8 are missing first date of attendance. Child #5 is missing one emergency contact Child #8 is missing parent contact information, emergency contact information, liability insurance declaration, medical information and policy and procedures sign off.

Plan of Correction: I will add the first day of attendance to my form and get all the information I need. Child #8 is just here for today.

Standard #: 22VAC40-111-90-C
Description: Based on review of children's records, the provider did not obtain documentation of immunizations for children under the age of 2 every 6 months. Evidence: Children #1,5 and 7 do not have documentation of an updated immunization, the last immunization record was 2/19/18, 9/4/17 and 3/12/18 respectively.

Plan of Correction: I will get an updated immunization record from the parents.

Standard #: 22VAC40-111-230-A
Description: Based on review of caregivers records, not all records are complete. Caregiver #1 does not have documentation of qualifications and training.

Plan of Correction: I will update the record.

Standard #: 22VAC40-111-320-A
Description: Based on observation, the provider did not ensure that all small electrical appliances were unplugged when not in use. Evidence: A toaster oven in the kitchen was plugged in when not in use.

Plan of Correction: Corrected during inspection and I will make sure everything is unplugged.

Standard #: 22VAC40-111-320-B
Description: Based on observation, not all outlets are inaccessible to children. Evidence: Not all unused outlets in the sleeping room were covered with a child-resistant protective cover.

Plan of Correction: Corrected during inspection and I will make sure they are all covered.

Standard #: 22VAC40-111-600-B
Description: An infant can not spend more than 30 minutes of consecutive time confined to a piece of equipment. Evidence: A child was placed in a bouncy seat for 49 minutes.

Plan of Correction: I will make sure they aren't in a confined space for longer than 30 minutes.

Standard #: 22VAC40-665-190-B
Description: Based on review of caregivers records, there is no documentation of TB screening every two years. Evidence: Caregiver #1 does not have documentation of an updated TB screening, the last one on record expired 1/12/17.

Plan of Correction: I will make an appointment and have it done. I will email you the documentation when it is completed.

Standard #: 22VAC40-665-420-E
Description: Based on observation, the table was not cleaned and sanitized before lunch was served. Evidence: The table the children used for playing was wiped with a wipe before lunch. The procedure is to spray the table with a solution of soap and water to clean it and then spray with a solution of bleach and water to sanitize.

Plan of Correction: I will make sure to use the soap and water and then bleach and water like I do on the changing table on all the surfaces.

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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