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Edla Yilma
5603 Dawes Avenue
Alexandria, VA 22311
(703) 628-9782

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Nov. 1, 2022

Complaint Related: No

Areas Reviewed:
?8VAC20-800 Administration
?8VAC20-800 Personnel
?8VAC20-800 Household Members
?8VAC20-800 Physical Health of Caregivers and Household members
?8VAC20-800 Caregiver Training
?8VAC20-800 Physical Equipment and Environment
?8VAC20-800 Care of Children
?8VAC20-800 Preventing the Spread of Disease
?8VAC20-800 Medication Administration
?8VAC20-800 Emergencies
?8VAC20-800 Nutrition
?8VAC20-800 Transportation
?8VAC20-800 Nighttime Care
?8VAC20-820 THE LICENSE.
?8VAC20-820 THE LICENSING PROCESS.
?8VAC20-820 HEARINGS PROCEDURES.
?8VAC20-770 Background Checks
?20 Access to minor?s records
?22.1 Background Checks Code, Carbon Monoxide
?54.1 Provider must be MAT certified to administer prescription medication.
?63.2 Child abuse and neglect
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:
An unannounced monitoring inspection was conducted today between the hours of 9:045am through 11:00. am There were a total of eight children (22 points) observed with three caregivers. A total of four children's files and three staff/household member's files were reviewed. The children were engaged in the following: toy play, games, snack, bathroom breaks, hand washing, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on record review and interview, an employee did not submit to fingerprinting for a criminal background check prior to the first day of employment.
Evidence:
1. Caregiver #2 (Start date 08/01/2022) did not have documentation of a criminal history record check.
2. Caregiver #1 confirmed that Caregiver #2 did not submit to fingerprinting for a criminal background check before the first day of employment.

Plan of Correction: The caregiver will get fingerprinting completed immediately.

Standard #: 8VAC20-770-60-B
Description: Based on record review and interview, an employee of a family day home did not complete a sworn statement or affirmation.
Evidence:
1. Caregiver #2 (Start date-08/01/2022) did not have a record with a completed Sworn Statement or affirmation.
2. Caregiver #1 confirmed that Caregiver #2 did not have a record and did not complete a sworn statement or affirmation.

Plan of Correction: A sworn statement will completed immediately.

Standard #: 8VAC20-770-60-C-2
Description: Based on record review and interview, an employee of a family day home does not have a central registry finding within 30 days of employment.
Evidence:
1. Caregiver #2 (Start date-08/01/2022) did not have documentation of a Central Registry finding within 30 days of employment.
2. Caregiver #1 confirmed that Caregiver #2 did not have a Central Registry finding and one was not completed.

Plan of Correction: The provider will complete a Central Registry Search for the caregiver and mail it. Once the results return, the provider will document the record.

Standard #: 8VAC20-800-830-C
Description: Based on record review and interview, documentation was not maintained of emergency and shelter in place drills.
Evidence:
1. There was no documentation for emergency evacuation drills for the months of May, June, July, August, September, and October.
2. Caregiver #1 stated that the emergency evacuation drills were conducted for the months of May through October, but documentation was not completed.

Plan of Correction: The emergency evacuation drills will be documented on the Emergency Evacuation Drill Log for the months of May through October.

Standard #: 8VAC20-800-920
Description: Based on observation, the menu for the current one week period did not contain the date.
Evidence:
1. The menu for the current one week period was not dated.

Plan of Correction: The menus will be completed with a date for each week.

Standard #: 8VAC20-800-120-A
Description: Based on record review and interview, the provider did not maintain a record for each caregiver.
Evidence:
1. Caregiver #2 (Start date- 08/01/2022) was working with the children at the time of the inspection. Caregiver #2 did not have a record.
2. Caregiver #1 confirmed that Caregiver #2 works with the children on an as needed basis, but does not have a record.

Plan of Correction: The provider will maintain a record for the caregiver.

Standard #: 8VAC20-800-60-B
Description: Based on record review, children's records did not contain required information.
Evidence:
1. Child #1's record (Start date-10/3/22) did not contain the name, address, and phone number of a second emergency contact and the name and policy number of the child's medical insurance.
2. Child #2's record (Start date-10/3/22) did not contain the policy number of the child's medical insurance.

Plan of Correction: The provider will get the missing information from the parents and document the record.

Standard #: 8VAC20-800-80-A
Description: Based on record review and interview, the provider did not obtain within seven business days of the child's first day of attendance verification of the identity and age of the child.
Evidence:
1. Child #2's record (Start date 10/3/22) did not have documentation of the identity and age of the child.
2. Caregiver #1 stated that proof of identity was not obtained from the parents within seven days of the child's first day of attendance.

Plan of Correction: The provider will view the proof of birth and document the record.

Standard #: 8VAC20-800-90-A
Description: Based on record review and interview, the provider did not obtain documentation that the child has been adequately immunized before the first day of attendance at the family day home.
Evidence:
1. Child #1's (Start date- 10/3/22) and Child #2's (Start date-10/3/22) records did not contain documentation of immunization records.
2. Caregiver #1 stated that documentation that the children have been adequately immunized was not obtained from the parents before the children started care in the family day home.

Plan of Correction: The provider will obtain the immunizations from the parents and document the record.

Standard #: 8VAC20-800-170-A
Description: Based on record review and interview, the provider did not obtain from each caregiver at the time of hire a current Report of Tuberculosis Screening.
Evidence:
1. Caregiver #2 (Start date-08/01/2022) did not have a record.
2. Caregiver #1 confirmed that Caregiver #2 did not have a file with a current Tuberculosis Screening.

Plan of Correction: The provider will get a copy of the TB screening and document the record.

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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