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Surisa Phumtim
6251 Marcy Court
Alexandria, VA 22310
(703) 971-9333

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: Aug. 14, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Emergencies
22VAC40-191 Background Checks for Child Welfare Agencies

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on record review and interview, the provider did document the emergency evacuation drills. Evidence: 1. The emergency evacuation drills fro June and July 2019 were not documented. 2. Caregiver C stated that she ran out of space and that is why they were not documented.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the assistants' records were missing required information. Evidence: Assistant A and Assistant B were missing age verification.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were missing required information. Evidence: 3 of 6 records reviewed were missing required information. 1. Child A was missing a medication authorization form. 2. Child B was missing the employer number of both parents and the medical insurance policy number. 3. Child C was missing the parent agreement, medication authorization form, and the provisions of emergency preparedness plan.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation that the child has been adequately immunized. Evidence: Child C did not have a record of immunization on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-280
Description: Based on observation, potentially poisonous substances were not inaccessible to children. Evidence: There was a spray peroxide bottle located in the crib with an infant in the main child care area.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-320-A
Description: Based on observation, small appliances were not unplugged during hours of child care. Evidence: An electric rice cooker and an electric blender were plugged in and not in use during child care hours.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-320-B
Description: Based on observation, child resistant protective covers were not installed on all unused electrical outlets. Evidence: 4 unused electrical outlets located in the room on the second level with the cribs were not covered with protective covers.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-530-A
Description: Based in observation, cribs in use did not have the required contents. Evidence: Two cribs located on the second level were occupied with children and did not have a top sheet.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-530-F
Description: Based on observation, soft objects were inside a crib while it was occupied. Evidence: 1. There were two unused diapers inside a crib occupied by a child. 2. The child was seen putting one of the diapers in their mouth.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the family day home did not have central registry findings within 30 days of employment. Evidence: 1. Caregiver A did not have central registry findings within 30 days of employment. 2. Caregiver A was hired 04/15/2019.

Plan of Correction: Not available online. Contact Inspector for more information.

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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