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Ms. Hirut Yigezu
4012 Cairo Place
Woodbridge, VA 22192
(571) 239-9535

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: Sept. 19, 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 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.
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

Technical Assistance:
Discussed with the Provider the importance of providing the Inspector with accurate information regarding the identity of Caregivers. Also discussed with the Provider the importance of following the guidelines of Safe Sleep regarding feeding infants bottles and the use of lightweight blankets.

Comments:
An Unannounced Monitoring Inspection was conducted today. There were 10 children (including the caregiver's) (27 points) directly supervised by 2 staff. The home, 1 provider record, 3 child's records, 0 household member's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely inside the play room, eating lunch, napping and watching television. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector, Keesha Minor: (keesha.minor@dss.virginia.gov) (540)-340-2672.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on the provider interview, the provider did not ensure that the emergency preparedness plan is updated on at least annually. Evidence: Identified through the provider that the emergency preparedness plan has not been updated within the last 12 months.

Plan of Correction: I will review it by Monday.

Standard #: 22VAC40-111-830-B
Description: Based on review, the provider did not ensure that shelter-in-place procedures were practiced a minimum of twice per year. Evidence: Reviewed the shelter in place drill log and found that there was no documentation of a shelter-in-place drill conducted within the last 12 months.

Plan of Correction: I will do a shelter-in-place tomorrow and another within 6 months.

Standard #: 22VAC40-111-920
Description: Based on review, the provider did not have documentation of a menu for the current one-week period. Evidence: Reviewed the provider's menu and found that the menu stated they were having "Turkey, Milk, Yams, Collard Greens and Biscuit" but the children received "Noodles, Tuna, Corn, Bananas and Milk". The provider had a menu from 2002 that was posted on the refrigerator but was not being followed., and substitutions were not documented.

Plan of Correction: I am going to to begin posting the menu on my fridge with the week documented.

Standard #: 22VAC40-111-100-A
Description: Based on review, the provider did not ensure that they obtained documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Reviewed 3 children's records and found that Child 1 and 2 did not have documentation of a physical examination.

Plan of Correction: I will ask the parents to provide for me by next week.

Standard #: 22VAC40-111-120-A
Description: Based on provider interview, the provider failed to ensure that they maintained a record for each caregiver. Evidence: Identified through the provider and the assistant that the assistant did not have any documentation or records, and has been working in the home since September 2, 2019.

Plan of Correction: I have already had her complete the background check, I will mail it tomorrow. I will get everything else together as soon as possible.

Standard #: 22VAC40-111-50-A
Description: Based on review, the provider did not ensure that they kept a written record of children in attendance each day. Evidence: Reviewed the provider's attendance record and found that they did not document any of the children's attendance in the month of September.

Plan of Correction: I will write the attendance for today at nap time and I will do it every day moving forward.

Standard #: 22VAC40-111-60-B
Description: Based on review, the provider did not ensure that children's records were maintained with the required information. Evidence: Reviewed 3 children's records and found the following: 1) Child 1 did not have documentation of parent work phone numbers. 2) Child 1 did not have documentation of written emergency medical authorization. 3) Child 2 medical insurance policy number

Plan of Correction: I am going to tell the parents what is missing as soon as possible and will add them to the file when I get them.

Standard #: 22VAC40-111-80-A
Description: Based on review, the provider did not ensure that within seven business days of the child's first day of attendance at the family day home, that they obtained documentation from the parent of the child's proof of identity. Evidence: Reviewed 3 children's records and found that Child 1 did not have documentation of proof of identity.

Plan of Correction: I will ask the parent for the proof of birth letter until the birth certificate comes in.

Standard #: 22VAC40-111-200-A
Description: Based on review, the provider did not ensure that the assistant was oriented by the end of the first week of assuming job responsibilities. Evidence: Reviewed the caregivers records and found that there was no record of, or orientation documentation for the assistant on site.

Plan of Correction: I will provide orientation by tomorrow.

Standard #: 63.2-1721.1-B-1
Description: Based on review, the provider failed to ensure that the assistant provided a sworn statement of affirmation disclosing whether they have been convicted of or is the subject of any pending criminal charges or offense(s) within or outside of the Commonwealth and whether or not they have been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. Evidence: Identified that the provider did not have a record for the assistant that has been employed since September 2, 2019, and had no documentation of a sworn statement.

Plan of Correction: I will have it completed today.

Standard #: 63.2-1721.1-B-2
Description: Based on provider interview, the provider failed to ensure that the new assistant submitted to fingerprinting prior to employment

Plan of Correction: I will get the appointment scheduled tomorrow.

Standard #: 63.2-1721.1-B-3
Description: Based on the provider interview, the provider failed to ensure that the new staff has submitted for a search of the central registry in Virginia and any child abuse and neglect registry or equivalent maintained by any other state in which the individual has resided in the preceding five years.

Plan of Correction: Will mail the central registry request today.

Standard #: 63.2-1721.1-E
Description: Based on the provider interview, the provider failed to ensure that any person involved in the day-to-day operations of the child day center, family day home, or family day system, or shall be alone with, in control of, or supervising one or more children, without first having completed any required background check. Evidence: Identified through the provider and the assistant that the assistant has not submitted to a background check (fingerprinting).

Plan of Correction: I will call tomorrow to make sure an appointment is scheduled as soon as possible.

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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