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Amelia Boisvert
5910 Westchester Street
Alexandria, VA 22310
(703) 868-5379

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: July 14, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-800-120 Administration
8VAC20-800-170 Health Care of Caregivers and Household Members
8VAC20-800-210 Annual Training
8VAC20-800-240 Environment and Equipment
8VAC20-800-680 Spread of Disease
8VAC20-800-810 Emergencies
8VAC20-800-870 Nutrition

Technical Assistance:
Technical assistance was offered regarding the following:

1. Inspection reports.
2. Small electrical appliances.
3. Storage of hazardous materials.
4. Organization and maintenance of daycare, staff and children's records.
5. First Aid and CPR certifications.

Comments:
A monitoring inspection was conducted on 7/14/22 from 2:30 pm to 3:55pm.There were 2 children present (3 points) with 1 staff supervising. The children were observed playing with home living toys and other materials for free play. 2 children's records and 1 staff record was reviewed. There were no medications on site. A walk through of the family day home was conducted to assess the physical space used by the children.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. For any questions regarding this inspection, please contact me at mahrukh.aziz@doe.virginia.gov or 571-835-4718.

Violations:
Standard #: 22.1-289.036-B-2
Description: Based on staff interview, the family day home did not obtain results of a fingerprint based criminal history search for an adult household member when they reached the age of 18 years.
Evidence:
1. Household member # 1 reached 18 years of age in April 2022.
2. The provider stated that she has not obtained results of a fingerprint search for Household Member # 1.

Plan of Correction: An appointment was made for 7/18/22. The licensing inspector will be updated once the results have been obtained.

Standard #: 8VAC20-770-40-D-4-a
Description: Based on staff interview, the family day home did not obtain a sworn disclosure statement (SDS) when a household member reached the age of 18 years old.
Evidence:
1. Household Member # 1 reached the age of 18 years in April 2022.
2. Staff # 1 stated that she did not obtain c complete SDS for Household Member # 1.

Plan of Correction: The form was completed on 7/14/22.

Standard #: 8VAC20-800-830-C
Description: Based on staff interview, the family day home provider did not maintain written documentation of emergency evacuation and shelter-in-place drills.
Evidence: The provider stated that she had practiced emergency drills with the children but had not maintained current documentation.

Plan of Correction: Drill records will be maintained in an accurate and complete order.

Standard #: 8VAC20-800-100-A
Description: Based on records review, the provider did not obtain documentation of a physical examination for a child enrolled within 30 days after the first day of attendance.
Evidence: Child # 2's first day of attendance was 2/16/21, and there was no documentation of a physical exam in Child # 2's record.

Plan of Correction: The forms will be requested from the parent.

Standard #: 8VAC20-800-50-A
Description: Based on staff interview, the family day home did not maintain a written record of children in attendance each day.
Evidence: The provider stated that she did not maintain current attendance for children in care since the end of the 2022 school year. There were no attendance records for review.

Plan of Correction: Complete and accurate attendance will be maintained.

Standard #: 8VAC20-800-60-A
Description: Based on staff interview, the provider did not maintain an up-to-date record at the family day home for each enrolled child.
Evidence: Staff # 1 stated that she had received Child # 1's (4 yrs old) paperwork from the parent, but the paperwork could not be found during the inspection.

Plan of Correction: Some forms were found. The file will be completed.

Standard #: 8VAC20-800-60-B
Description: Based on records review, children's record did not have complete information.
Evidence:
1. Child # 2's record was missing the following information: Annual update (start date 2/16/21) and the medical insurance policy number.
2. Child # 3's records was missing the medical insurance policy number and the provisions for emergencies form.

Plan of Correction: The missing information will be obtained.

Standard #: 8VAC20-800-90-A
Description: Based on records review, the family day home did not obtain documentation that the child has been adequately immunized, before the first day of attendance.
Evidence:
1. Child # 2's first day of attendance was 2/16/21.
2. Child # 2's record did not have documentation of immunizations.

Plan of Correction: The forms will be requested from the parent.

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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