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Viktoriya Zubkova
812 Linfield Terrace, NE
Leesburg, VA 20176
(703) 937-7620

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Sept. 24, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Please submit renewal prior to expiration date.
Discussed best practice in regards to supervision and transitions.
OBI contact number 804-726-7884
Discussed the need to monitor your crib sheets and the fitting over the mattresses.

Comments:
An unannounced Renewal inspection was conducted this date. A total of 11 children(32pts) with Provider and 2 assistants were present during the inspection. When the inspector arrived, the children were outside playing in the backyard with 2 staff and 2 infants were sleeping in the crib room. Walk thru of entire home was completed this date. The children were observed swinging on swings, coloring at table tops, the older children were outlining the letter "C". Hand washing and diapering procedures were observed. One medication on site today. Children transitioned upstairs for lunch. Lunch today was grilled cheese, broccoli and milk with yogurt smoothies. The home was equipped with ample supplies and equipment age appropriate for the children currently in care. A total of 5 children's records, all staff and household records were reviewed. This inspection began at approximately 10am and ended at 3:30pm. Thank you for your cooperation today. Please email me at: eureka.nance@dss.virginia.gov with any questions.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation and provider statement, one medication was found unlocked.
Evidence:
1. One medication was found unlocked in Child #3's cubby.

Plan of Correction: Will place medication in locked container.

Standard #: 22VAC40-111-750-A
Description: Based on child's record review, authorization for topical ointments were over one year.
Evidence:
1. Child #1's topical ointment authorization expired in January 2019.
2. Child #2's authorization expired in August 2019.

Plan of Correction: Will have parents complete new form at pickup.

Standard #: 22VAC40-111-780-B
Description: Based on child record review, 2 out 5 records reviewed did not have an annual update.
Evidence
1. Child #1 and #2 last annual update was dated August 2018.

Plan of Correction: Will update with parents today.

Standard #: 22VAC40-111-940-B
Description: Based on observation, an opearabel thermometer was not found on-site.
Evidence:
1. The thermometer on-site was not operable.

Plan of Correction: I will buy new ones.

Standard #: 22VAC40-111-50-A
Description: Based on staff statements, a written record of attendance was not kept.
Evidence
1. The provider stated that the record was not able to be printed.

Plan of Correction: Provider printed the attendance during inspection.

Standard #: 22VAC40-111-140-B-3
Description: Based on staff record review, provider does not meet the all requirements for provider.
Evidence
1. Provider does not have current CPR.

Plan of Correction: Provider was take CPR class.

Standard #: 22VAC40-111-140-B-4
Description: Based on staff record review, provider did not maintain all qualifications required.
Evidence
1. Provider does not have current First Aid.

Plan of Correction: Provider will take 1st Aid class.

Standard #: 22VAC40-111-170-B
Description: Based on staff record review, a TB test was not obtained as required.
Evidence
1. Staff #3 was hired on 8/5/19. The TB test on file was dated 4/13/18. TB test must be completed within 30 days of hire.

Plan of Correction: For new staff TB test will be obtain within 30 days of hire.

Standard #: 22VAC40-111-200-A
Description: Based on record review, orientation training was not obtained for one staff.
Evidence
1. Staff #3 was hird on 8/05/19. Orientation training was not completed.

Plan of Correction: Documentation for orietnation training was completed for staff during inspection.

Standard #: 22VAC40-111-210-A
Description: Based on staff record review, one staff member did not obtain 16 hours of annual training.
Evidence.
1. Staff #2 had no documented training in the last year.

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

Standard #: 22VAC40-111-220-A
Description: Based on provider statement, the provider has not satisfactorily completed a training program to administer medication.
Evidence. Child #3 requires an emergency medication found on-site. The provider does not have current MAT training.

Plan of Correction: Provider's MAT training on 10/4/19.

Standard #: 22VAC40-111-460-D
Description: Based on provider's statement, rabies vaccination were not current.
Evidence:
1. The provider was not able to provide current rabies vaccination for the two cats in the home.

Plan of Correction: Appointment today at 5:45 pm.

Standard #: 22VAC40-111-500-D
Description: Based on observation, nonflexible-molded seats shall be used only when a caregiver stays within arm's length of any hard-molded swing in use and is positioned to see and protect other children who might walk into the path of the swing.
Evidence:
1. When the inspector arrived, two infants were in nonflexible-molded seat swings and were not in arm's length reach of a caregiver.
2. During the inspection two infants were found a second time in swings and not in reach of staff after being instructed a second time by the inspector that this was not allowed.
3. A licensing inspector observed one of the infants not secured and attempting to get out of the swing without staff close by.

Plan of Correction: Will speak to staff

Standard #: 22VAC40-111-560-A
Description: Based on observation, direct care and supervision of each child at all times.
Evidence:
1. When inspector arrived the provider was not home. Two staff were on-site in the backyard while two infants were sleeping in crib room. There was no monitoring system of sight and sound of these children.
2. During the inspection, a infant was left alone downstairs unattended for approximately 30 seconds in a bouncer seat.

Plan of Correction: 1. Monitor is in the infant room and working.
2. Will talk to staff about supervision

Standard #: 22VAC40-111-570-A
Description: Based on observation, the provider did not ensure that a caregiver does not exceed 16 points.
Evidence: During lunch time transition, two staff were upstairs preparing lunch, leaving one staff downstairs with 8 children totaling 28 points.

Plan of Correction: Will talk to staff about transitioning

Standard #: 22VAC40-111-690-E
Description: Based on observation, the storage system for soiled diapers is no longer operable and caregivers hand to close it.
Evidence
1. Based on observation, the step-on pale used for soiled diapers does not close properly.

Plan of Correction: Will purchase a new one

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, one household member background check was not current.
Evidence:
1. Household member #1 sworn statement was dated on 2/20/14. Background checks are required every 5 years.

Plan of Correction: I will have updated today.

Standard #: 22VAC40-191-60-C-2
Description: Based on staff record review, one staff did not have a central registry search result.
Evidence
1. Staff #3 was hired on 8/5/19. A central registry result was not on file. A central registry result has to be completed within 30 days of hire.

Plan of Correction: Will contact OBI tomorrow regarding the status of the search request.

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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