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Rediet Geberesenbet
6505 Inwood Drive
Springfield, VA 22150
(571) 251-3117

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Nov. 22, 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

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, children records, attendance procedures, children and staff records, and fire safety and shock and prevention.

Submit renewal application prior to the expiration date.

Refer to the Virginia Department of Social Services website at www.dss.virginia.gov
For current information, including rules and regulation updates, forms, and training opportunities.

Comments:
An unannounced renewal inspection was conducted today from approximately 9:00 am to 11:30 am There were 4 children (11 points) in care of two staff.

4 children?s, 4 staff records, 1 household member record, caregiver training, children?s nutrition, supplies, emergency procedures and drills were inspected. The children were observed playing freely and with toys on the floor. No medications on-site today. There were age appropriate materials for all children in care. Hand washing was observed. Areas of non-compliance are identified in the Violation Notice.

If you have any questions regarding this inspection, please call or send an email.

Eureka Nance, Licensing Inspector
703-638-5968
eureka.nance@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, the provider did not ensure the topical skin product provided by the parent, labeled with the child's name.
Evidence:
1. Child #2's topical skin ointment Aquaphor was not labeled with the child?s name.
2. Child #5's Desitin cream ointment was not labeled with the child's name.

Plan of Correction: Make sure all skin ointments are labeled.

Standard #: 22VAC40-111-870-F
Description: Based on observation, the provider did not label food containers that identifies the owner.
Evidence: Four children had food containers bought from home were not labeled.

Plan of Correction: Food containers labeled.

Standard #: 22VAC40-111-900-B
Description: Based on observation, the provider allowed children to eat or drink while walking, running, playing, lying down, or riding in vehicles.
Evidence: The provider gave grapes to children. Two children were walking, running, and playing with food in their mouth.

Plan of Correction: I will make sure children are sitting on a highchair for eating and drinking.

Standard #: 22VAC40-111-920
Description: Based on observation, the provider did not have a menu for the current one-week that required the standards.
Evidence: The provider provides snacks to the children. The provider did not have a menu that was dated, given to parents or posted or placed in an area accessible to parents, and kept on file one week at the family day home.

Plan of Correction: Make sure menus are posted in an area accessible to parents.

Standard #: 22VAC40-111-100-A
Description: Based on children's record review, the provider did not obtain 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: Child #1 (first of attendance on 5/13/2019) and Child #2 (first day of attendance 9/10/2018) did not have documentation of a physical examination prior to attendance or within 30 days after the first day of attendance.

Plan of Correction: Obtain the physical examination paper form the children Parents.

Standard #: 22VAC40-111-120-B
Description: Based on staff records review, 1 out 4 records, the provider did not obtain for assistants that documentation that two or more references as to character and reputation as well as competency were checked before employment.
Evidence: Staff #2 (hired in October 2018), Staff #3 (hired 5/08/2019) , and Staff # 4 (hired in October 2019) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: I will make sure reference for staff are completed.

Standard #: 22VAC40-111-50-A
Description: Based on observation and attendance records review, the provider did not maintain a written record of children in attendance each day.
Evidence: At today's visit, the provider did not keep a record of attendance of the children that were currently in care.

Plan of Correction: Write attendance when children arrives.

Standard #: 22VAC40-111-60-B
Description: Based on children's record review, 2 out of 5 records, the provider did not maintain the required Standards in child's record.
Evidence:
1. Child #1 (DOB 3/08/2019) did not have in record policy number of the child's medical insurance and address for of the designated persons to contact in case of an emergency if the parent cannot be reached.
2. Child #2 (DOB 5/15/2017) did not have in record documentation of the review of the child's emergency contact information.

Plan of Correction: Obtain information from the children Parents.

Standard #: 22VAC40-111-80-C
Description: Based on children's record review, 3 out of 5 records, the provider did not document in the child's record the names and locations of the previous child care programs and schools the child has attended.
Evidence: Child #1, #2, and #5 did not have documentation of the names and locations of the previous child care programs and schools attended.

Plan of Correction: I will make sure the information is documented.

Standard #: 22VAC40-111-170-A
Description: Based on staff records review, the provider did not obtain from each caregiver at the time of hire and each adult household member prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form.
Evidence: 1. Staff #4 was hired in October 2019, did not have documentation available for review in record of a current Report of Tuberculosis Screening.

Plan of Correction: I will make make sure Tuberculosis Test result will be obtained for caregivers.

Standard #: 22VAC40-111-540-A
Description: Based on observation the provider did not ensure infant carrier seats, swings, strollers, feeding or activity tables, and high chairs were used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened.
Evidence: Three children were in high chairs eating. The provider did not use the safety strap and securely fastened.

Plan of Correction: Make sure walkers are no longer used.

Standard #: 22VAC40-111-540-B
Description: Based on observation, the provider has infant walkers in the child care.
Evidence: The provider has two walkers in the child care area. The provider stated two enrolled children use the walkers when in care. Observed two children climb in the walkers on their own and began moving.

Plan of Correction: I will make sure all the listed safety measures are followed.

Standard #: 22VAC40-191-60-C-2
Description: Based on staff records review, 1 out 4 records, the provider did not obtain central registry fining within 30 days of employment.
Evidence: The provider stated Staff #4 was hired in October 2019. A central registry results was not on file. A central registry result has to be completed within 30 days of hire.

Plan of Correction: Obtained a central registry results for a staff by 12/02/1019.

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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