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Debora Derboghossian
4050 Westwind Drive
Woodbridge, VA 22193
(571) 232-6964

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Dec. 3, 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 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Cribs should not be used as infant play spaces. Discussed linens and cribs. If using a video monitor to monitor sleeping infants, the video monitor must be turned on with the sound up. Video monitors only apply to monitoring sleeping infants.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

Infants that fall asleep in their carseats should be promptly moved to their cribs. No infants should be sleeping in a carseat in the family day home.

Discussed safe infant sleep requirements as recommended by the American Academy of Pediatrics.

Comments:
An unannounced monitoring inspection was conducted beginning at 9:15 a.m. and ending at 12:30 p.m. with the provider and two assistants. There were 12 children in care ages 5 months, 5 months, 6 months, 2 years, 2 years, 2 years, 2 years, 3 years, 4 years, 4 years, 4 years, 4 years for a total of 30 points. Infants were observed sleeping and being held. Preschoolers were observed in the downstairs childcare area having free play with a variety of toys and equipment. The downstairs crib room was observed as well as the upstairs bedroom and the provider's bedroom as infant care is being provided in those two rooms.

Five children's records, three caregiver records and two household member records were reviewed. The attendance log was reviewed. Weekly menu is posted.

If you have questions regarding this inspection, contact licensing inspector Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-50-A
Description: Based on observation and interview the provider, it was determined that there was no written attendance record for 12/3/2019. Evidence: The Licensing Inspector (LI) arrived at approximately 9:15 a.m. During the walk through, the LI observed that attendance was not entered for Tuesday, 12/3/2019. Interviews revealed that the first child arrived at approximately 7:30 a.m. and the children's arrivals had not been recorded.

Plan of Correction: Attendance will be recorded within the first five to ten minutes of the child's arrival.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, it was determined that not all records contained the required information. Evidence: Child #5, enrolled 6/5/19, did not have documentation of father's employer name, address and telephone number or a second emergency contact with complete address and phone number other than the parent.

Plan of Correction: This information will be requested from the parent again and the record updated.

Standard #: 22VAC40-111-240-A
Description: Based on observation, not all areas of the family day home were maintained in safe condition. Evidence: In the area outside the upstairs room with three infant swings, there were two cans of paint and a pair of scissors resting on top of one of the paint cans. In the room with the three infant swings, there is a large, heavy mirror resting in the corner that is not secure and creates a crushing hazard. In the downstairs childcare area, the loose hanging extension cord also creates a tripping hazard.

Plan of Correction: These items will be taken care of by the end of the week.

Standard #: 22VAC40-111-250-A
Description: Based on observation, it was determined that hanging items were not kept out of reach of children under five years of age. Evidence: In the basement child care area, there is a white extension cord plugged in outside of the bathroom near the reading nook area that hangs all the way to the floor that creates a hanging and strangulation hazard. In the basement in the crib room, there is a flower night light attached to the wall that is plugged in and the electrical cord hangs down creating a strangulation hazard.

Plan of Correction: These items will be taken care of by the end of the week.

Standard #: 22VAC40-111-510-A
Description: Based on observation and interview, it was determined that infants were not being provided with a crib for resting or napping. Evidence: Child #3 was observed swaddled in a white muslin blanket strapped into an infant swing in the upstairs bedroom that has three infant swings. Interviews revealed that the three infants in care have been sleeping in the swings due to colds or congestion.

Plan of Correction: The two smaller cribs will be moved upstairs for the infants and will be used for sleep and rest.

Standard #: 22VAC40-111-530-B
Description: Based on observation,it was determined that not all cribs used by infants had a tight-fitting bottom cover. Evidence: In the provider's bedroom, there is a crib designated for Child #3 that has a loose fitting purple sheet. The material of the sheet was observed bunched up on the mattress.

Plan of Correction: A new sheet was put on the crib during the inspection.

Standard #: 22VAC40-111-560-A
Description: Based on observation, it was determined that caregivers did not provide direct care and supervision of each child at all times including awareness of and responsibility of each child in care and being near enough to intervene.
Evidence:
1. Child #2, age 5 months, was observed on a fabric covered ottoman that measured approximately 15 inches above the carpeted floor in the livng room laying on his back. Staff #2 had placed Child #2 on the ottoman and walked to the basement door with Child #4 to take Child #4 to the rest of the group downstairs. Staff #1 intervened when she saw Staff #2 at the top of the steps. The ottoman is approximately 10 feet out of sight of the basement door in the living room area.
2. Child #1 was placed in an infant swing awake in the upstairs bedroom with the three infant swings. Staff returned downstairs with Child #3. Staff were using a video monitor to observe the room.

Plan of Correction: Staff will be reminded regarding supervision. The infant was placed in the swing because licensing was here and it is not normally done.

Standard #: 22VAC40-111-590-A
Description: Based on observation and interview, it was determined that infants were not being placed on their back for sleeping or napping unless ordered by written statement from the child's physician. Evidence: Child #3, age six months, was observed tightly swaddled in a white muslin blanket strapped into an infant swing in the upstairs bedroom that has three infant swings. Interviews revealed that the three infants in care have been sleeping in the swings due to colds or congestion. There is no documentation of a physician's written statement requesting or permitting infants to sleep at an angle in a swing.

Plan of Correction: The two cribs will be brought upstairs and used for sleep.

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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