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Humirah Dost
6544 Braddock Road
Alexandria, VA 22312
(703) 909-6259

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: April 30, 2019

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 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.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Facilities and Programs

Technical Assistance:
Discussed caregiver and household member records.

Comments:
An unannounced renewal inspection was conducted today from 10:40am-1:30pm. There were 5 children (10 points) supervised by 2 direct care staff. The home, 2 staff records, 3 children?s records, 1 household member?s records, evacuation drills, emergency supplies, policies and medications were inspected. Children were observed playing outdoors with push toys and doing body tracings with sidewalk chalk, playing with puzzles, eating lunch, and transitioning to naptime. Diapering and handwashing procedures were also observed. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Anansa Archer-Hicks at 703-268-3295 or anansa.archer-hicks@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on a review of medications, 3 of 4 children's records did not have documentation of written authorization from the parent. Evidence: 1. Child #3's (start date: 1/23/2017) Epi-Pen Jr. and Children's Benadryl had corresponding medication authorization forms that did not contain documentation of parent signatures. 2. Child #5's (start date: 12/12/2016) Children's Benadryl did not contain documentation of a corresponding medication authorization form.

Plan of Correction: We will have the parents sign today, and have the other parents contact the doctor and send us the forms as soon as possible.

Standard #: 22VAC40-111-700-C
Description: Based on a review of medications, 1 of 4 medications had an expired medication authorization, and the family day home provider did not ensure that the medication was picked up within 14 days or that the authorization was renewed by the parent. Evidence: Child #5's (start date: 12/12/2016) Epi-Pen Jr. had a medication authorization form that expired 7/3/2018.

Plan of Correction: We will have the parents contact the doctor and send us the forms as soon as possible.

Standard #: 22VAC40-111-830-A
Description: Based on record review, the family day home did not ensure that emergency evacuation procedures were practiced monthly. Evidence: There was no documentation of a fire drill completed in December 2018.

Plan of Correction: We will make sure to immediately note drills after they're practiced every month.

Standard #: 22VAC40-111-180-A
Description: Based on record review, 3 of 3 caregiver and household member records did not contain documentation of a current report of tuberculosis screening form. Evidence: 1. Caregiver A's most recent documented TB was dated 10/3/2016 (expired 10/3/2018). 2. Caregiver B's (date of hire: 1/23/2017) most recent documented TB was dated 10/13/2016 (expired 10/13/2018). 3. Household member A's most recent documented TB was dated 10/27/2016 (expired 10/27/2018).

Plan of Correction: We will get TB done as soon as possible.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas and furnishings of the family day home were not maintained in a clean, safe, and operable condition. Evidence: A children's push toy in the outdoor play area had a broken steering wheel.

Plan of Correction: The broken item was disposed of during inspection.

Standard #: 22VAC40-111-280
Description: Based on observation, the family day home did not ensure that potentially poisonous substances, materials and supplies were stored away from food in areas inaccessible to children. Evidence: A container of hand sanitizer, and a plastic bin full of spray paints were sitting outside on the step in the children's outdoor play area.

Plan of Correction: Items were moved out of reach of children during inspection. Moving forward, we will make sure they are always out of reach of children.

Standard #: 22VAC40-111-330-A
Description: Based on observation, the family day home did not ensure that a landline telephone was available, operable, and accessible during the family day home's hours of operation. Evidence: There was no landline telephone available.

Plan of Correction: We will purchase a new one.

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. To find programs participating in Virginia Quality, click here.

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