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Ms. Soraya Fedayi
5508 Altenbury Loop
Gainesville, VA 20155-6245
(703) 743-9750

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Oct. 4, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Technical Assistance:
It was discussed that the new Sworn Disclosure Statement forms should be used moving forward. Paper towels shall always be accessible to children in the bathroom.

Comments:
An unannounced renewal inspection was conducted today between the hours of 9:10am through 11:35am. There were a total of 10 children present, including 2 resident children, ranging in age from 11 months to 4 years of age (25 points) with the Provider and 1 assistant. A total of 6 children?s files, 3 staff files, and 5 household member?s files were reviewed. The children were engaged in the following: eating morning snack which consisted of cereal, crackers, and milk, engaging in self-selection of age appropriate toys, building with blocks, and playing a group game of Jenga. Positive interactions between caregivers and children were observed during this inspection. A complete inspection of the family day home, programming space, children and staff records, evacuation drills, menu, attendance, and emergency procedures were completed today. The provider advised there was no medication on site today. The provider is current in CPR/First Aid certification. There was an abundant supply of age appropriate materials and toys and the home was clean and organized. Please contact me with any questions or concerns at morgan.bryson1@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on review of the emergency preparedness and response plan, documentation of the annual review was not kept.

Evidence:
1. The emergency preparedness plan on site was dated 10/4/2010. There was no documentation at the family day home of a review of the plan.

Plan of Correction: We will complete a review of the plan.

Standard #: 22VAC40-111-830-A
Description: Based on review of the emergency drill log and interview with the provider, emergency evacuation procedures have not been practiced monthly.

Evidence:
1. The last documented emergency evacuation drill was completed 4/29/19.
2. The provider stated fire drills have not been completed since April 2019.

Plan of Correction: Moving forward we will do fire drills once a month and document the drill.

Standard #: 22VAC40-111-60-B
Description: Based on review of 6 children's records, 1 child's record did not contain all required information.

Evidence:
1. Child #4's record did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately.
2. Child #4's record did not contain documentation of an annual review of emergency contact information. The last review of emergency contact information was completed 7/22/2018.

Plan of Correction: I will ask the parents to sign the emergency authorization form and also to review emergency contact information.

Standard #: 22VAC40-111-170-A
Description: Based on review of 5 household member's records, the provider did not obtain from each adult household member documentation of a negative tuberculosis screening or test.

Evidence:
1. Adult Household Member #2 did not have a tuberculosis screening or test on file.

Plan of Correction: We will get the TB test or screening done within 2 weeks.

Standard #: 22VAC40-191-40-C-1-c
Description: Based on review of 5 household member records, 1 adult household member's record did not contain a Sworn Disclosure Statement.

Evidence:
1. Adult Household Member #2's record did not contain a Sworn Disclosure Statement.

Plan of Correction: We just need to print out a blank Sworn Disclosure Statement form and we will get it completed.

Standard #: 63.2-1721.1-B-2
Description: Based on review of 5 household member records, 1 adult household member's record did not contain the results a fingerprint based criminal history record check.

Evidence:
1. Adult Household Member #2's file did not contain the results of a fingerprint based criminal history record check.

Plan of Correction: We will go online today to schedule an appointment and the household member will get the fingerprinting done 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. To find programs participating in Virginia Quality, click here.

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