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Freshta Omid
10550 Tattersall Drive
Manassas, VA 20112
(703) 298-2204

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: Feb. 4, 2022 and Feb. 8, 2022

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
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors
54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Provided consultation on standard:
1) 60: Children's records - name, address and phone number is required for 2 emergency contacts
2) 170: TB screening - the form shall be signed by a physician, physician's designee, or an official of the local health department
3) 530: Cribs - do not use a crib that doesn't have documentation to demonstrate that it was manufactured after June 28, 2011.
4) 830: emergency response drills - evacuation procedures shall be practiced monthly; shelter-in-place procedures shall be practiced 2 times each year; consider conducting drills at the beginning of the month in case of unforeseen circumstances


HB1823 adds ? 22.1-289.058 to the Code of Virginia. This bill requires all licensed child day programs and religiously exempt child day centers, certified preschools, family day system homes and certain other programs that serve preschool-age children operating in a building built before 2015 to be equipped with at least one carbon monoxide detector.

Comments:
An unannounced renewal inspection was conducted from 9:45 - 10:45 am with the provider. Documentation was reviewed off site and an exit interview was conducted on 2/8/2022. There was one child in care, age three, for a total of two points. The child was observed playing with a variety of age-appropriate toys. The menu was dated and posted. A variety of seasonal artwork was posted. The emergency drill log was reviewed. Child care areas and rest cots/cribs were observed. A total of one child record and five provider/household member records were reviewed. The provider has obtained over 30 hours of continuing education. The provider is not Medication Administration Training (MAT) certified and cannot administer medication to children in care. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@doe.virginia.gov.

Violations:
Standard #: 22.1-289.036-B-2
Description: Based on review of five household member records, and an interview with the provider, it was determined that not all household members had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check within 30 days of residence. Evidence: the record for household member #4 (date of residence: 10/21), did not have an OBI determination letter. The record for household member #5 (date of residence: 10/21), had an OBI determination letter dated: 12/22/2021.

Plan of Correction: Provider stated she has followed up with OBI, but will do so again.

Standard #: 8VAC20-770-40-D-4-a
Description: Based on review of five household member records, and an interview with the provider, it was determined that not all household members had a sworn statement completed prior to their first day of residence, or Central Registry Search results within thirty days of residence. Evidence: the record for household member #4 (date of residence: 10/21) did not have documentation of a sworn statement. The record for household member #5 (date of residence: 10/21), did not have documentation of a sworn statement or a Central Registry search report.

Plan of Correction: The provider stated that a sworn statement will be completed today and they will follow up about the missing Central Registry report.

Standard #: 8VAC20-770-60-B
Description: Based on review of two caregiver records, and an interview with the provider, it was determined that not all caregivers had a sworn statement completed prior to their first day of employment. Evidence: the record for caregiver #2 (date of hire: 4/2021), did not have documentation of a sworn statement.

Plan of Correction: Provider stated the caregiver will complete a sworn statement before working again.

Standard #: 8VAC20-800-790
Description: Based on observation, emergency telephone numbers were not posted as required. Evidence, the following emergency numbers were not posted in the day care area:
1) A 911 or local dial number for police, fire, and emergency medical responders
2) The responsible person for emergency backup care, and
3) The regional poison control center

Plan of Correction: Provider stated the emergency numbers would be posted.

Standard #: 8VAC20-800-170-A
Description: Based on review of five household member records, and an interview with the provider, not all household members had 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: the record for household member #4 (date of residence: 10/21) did not have documentation of a TB test/screening.

Plan of Correction: Provider stated the household member will obtain a TB test/screening.

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.

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