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Anita Owusu
3852 Manzanita Place
Building C
Alexandria, VA 22309
(571) 218-6153

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: March 14, 2018

Complaint Related: No

Areas Reviewed:
VENDHOM-000 Administration
VENDHOM-000 Caregiver Qualifications and Training
VENDHOM-000 Physical Plant
VENDHOM-000 Caregivers and Supervision
VENDHOM-000 Programs
VENDHOM-000 Special Care Provisions & Emergencies
VENDHOM-000 Special Services

Technical Assistance:
1. Discussed importance of getting written permission to dismiss children to authorized individuals. 2. Reviewed diaper changing procedures. 3. Inspector provided copies of model forms.

Comments:
4:10-7:10pm Conducted an announced annual subsidy inspection at new address. Observed 5 children in care + 2 children living in the home = 10 points with the vendor. [At approximately 5:20pm 3 of the 5 children departed, and at approximately 5:35pm 1 child arrived changing the ratios to 3 children in care + 2 children living in the home = 5 points.] The vendor said the 3 children would be returning before their mother picked them up at 9:00pm. Children were observed getting off the school bus, getting into the vendors car, arriving to the home where then 3 children were playing with an electronic alphabet game + 1 toy truck while watching TV on the lower level. The other 4 children were playing video games on the mid-level. A snack of potato chips and corn chips was served in the laundry room on the lower level. The childcare areas of the home were clean and safeguarded appropriately. Record keeping and health + safety violations found to 3 children. No snack was observed to have been served to the children on the mid-level of the home. The home was found to be clean and safeguarded appropriately today. Operational, supervision, health/safety, and record keeping violations found.

Violations:
Standard #: VENDHOM-000-004-A
Description: Based on observations made and interview conducted, it was determined that the vendor did not ensure compliance with these standards when she released children to an unknown male today. Evidence: 1. At approximately 5:20pm, 3 children in care were released to a male. Children released to this individual were Child #1, #2, and #3. 2. The vendor said the children's mother told her verbally she could release the children to this individual however, she told the inspector that she did not know the man's name. 3. The inspector asked 1 of the 3 children who the man was, and she said "uncle." 4. There was no authorized pick up person listed in the enrollment records of the 3 children, and the person listed to contact in emergencies was the mother of the children. 5. The vendor said she did not have written permission from the parent to release the children.

Plan of Correction: Individuals allowed to pick up children will be listed in the record, or written permission will be gotten from parents before letting the children go with people not listed in the record.

Standard #: VENDHOM-000-004-D
Description: Based on observations made and interviews conducted, it was determined that the capacity of children in care exceeded 4 today. Evidence: 1. Upon arrival to the home at 4:10pm, the inspector observed a total of 5 non-resident children in care, until 3 of those children left the home at approximately 5:20pm. 2. The 5 non-resident children in care include, Child #1, #2, #3, #6, and #7. 3. Although the vendor said during the inspection that Child #7 was a resident of the home, this was later verified to not be an accurate statement.

Plan of Correction: There will never be more than 4 children in care at one time.

Standard #: VENDHOM-000-005-B
Description: Based on records reviewed and interview conducted, it was determined that a written hard copy of daily attendance of children in care documenting arrival + departure as it occurs has not been maintained. Evidence: 1. There was no attendance taken when children arrived and departed today. 2. The written attendance record for January 2018 ended on the 18th, though the vendor said children were in care all month. 3. There was no written attendance record for February 2018, though the vendor said children were in care all month. 4. The vendor said that she couldn't find all of the attendance records, and was told that when she moved everything started new and she did not think she needed these records.

Plan of Correction: Arrival + departure attendance records will be done everyday and kept on-file.

Standard #: VENDHOM-000-006-A
Description: Based on interviews conducted, it was determined that 2 of 7 children receiving care did not have a record of enrollment available for review by the inspector. Evidence: 1. Child #6 - The vendor said this child, who was present today, does not have a record of enrollment. 2. Child #7 - Although the vendor said this child, who was present today, lives in the home, it was later determined to not be an accurate statement and therefore the child is required to have an enrollment record.

Plan of Correction: All children receiving care that do not live in the home will have an enrollment record.

Standard #: VENDHOM-000-006-B
Description: Based on records reviewed, it was determined that 6 of 6 children's records do not have required information. Evidence: 1. Child #1 - Name, home/work address + phone number for 1 of 2 parents was blank; no name, address + phone number for an emergency contact person other than the parent; no written authorization for emergency medical care; and permission to transport the children in the car. [Note: The child was observed in the vendor's car today.] 2. Child #2 - Name, home/work address + phone number for 1 of 2 parents was blank; no name, address + phone number for an emergency contact person other than the parent; no written authorization for emergency medical care; and permission to transport the children in the car. [Note: The child was observed in the vendor's car today.] 3. Child #3 - Name, home/work address + phone number for 1 of 2 parents was blank; no name, address + phone number for an emergency contact person other than the parent; no written authorization for emergency medical care; and permission to transport the children in the car. [Note: The child was observed in the vendor's car today.] 4. Child #4 - Name, home/work address + phone number for 1 of 2 parents was blank;;;o address for the emergency contact person listed; no written authorization for emergency medical care; and permission to transport the child in the car. 5. Child #5 - Name, home/work address + phone number for 1 of 2 parents was blank;;;o address for the emergency contact person listed; no written authorization for emergency medical care; and permission to transport the child in the car.

Plan of Correction: Required information will be completed for all children's records.

Standard #: VENDHOM-000-010-A
Description: Based on interview conducted, 4 of 7 children enrolled do not have documentation of immunizations. Evidence: 1. Child #4 - Began attending in 2017, date not known. The vendor said she didn't know where the record was today. 2. Child #5 - Began attending in 2017, date not known. The vendor said she didn't know where the record was today. 3. Child #6 - First date of attendance not known. The vendor said she does not have a record for this child. 4. Child #7 - First date of attendance not known, as it was later determined that the child does not reside in the home.

Plan of Correction: Immunization records will be on-file for all children.

Standard #: VENDHOM-000-010-B
Description: Based on records reviewed, it was determined that 1 of 7 children did not have immunizations updated every 6 months until the age of 2 years old. Evidence: Child #1 - The immunizations on-file are dated February 2017, when the child was 12 months old.

Plan of Correction: Immunizations will be updated.

Standard #: VENDHOM-000-013-B
Description: Based on observations made, it was determined that the inside temperature in areas of the home occupied by children was not maintained between 65-80 degrees today. Evidence: The temperature was measured to be 57.9 degrees.

Plan of Correction: The vendor turned the heat on in the house during the inspection.

Standard #: VENDHOM-000-015-A-3
Description: Based on observations made, it was determined that the hot water temperature exceeded 120 degrees. Evidence: The hot water was measured to be 145.8 degrees today.

Plan of Correction: The water temperature will be turned down.

Standard #: VENDHOM-000-015-A-4
Description: Based on observations made, it was determined that there were no disposable towels in the bathroom used by the children. Evidence: There were no paper towels in the bathroom.

Plan of Correction: The vendor put paper towels in the bathroom during the inspection.

Standard #: VENDHOM-000-026-A-1
Description: Based on interviews conducted, it was determined that the children did not wash their hands with soap + water or a disposable wipe before eating snack today. Evidence: 1. The vendor said she gave the children hand sanitizer. Later during the inspection the vendor said she used Clorox wipes to clean the children's hands. 2. A child told the inspector that they did not clean their hands before eating snack.

Plan of Correction: Children's hands will be washed with soap + water or disposable wipes (not household disinfectant wipes) before and after snack.

Standard #: VENDHOM-000-026-E-3
Description: Based on interview conducted, it was determined that the diaper changing pad is not cleaned with soap + water and then sanitized with bleach + water after each use. Evidence: The vendor said she sprays it with bleach + water and then sprays it with Lysol spray.

Plan of Correction: The pad will be cleaned and sanitized after each diaper change.

Standard #: VENDHOM-000-029-C
Description: Based on observations made, it was determined that the shelter-in-place was not on the posted maps.

Plan of Correction: Will be added to map.

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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