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

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: April 5, 2023

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 renewal inspection was conducted today between the hours of 10:00 am through 11:00 am. There were a total of six children (14 points) observed with two caregivers. A total of five children's files and three staff/household member's files were reviewed. The children were engaged in the following: toy play, games, circle time, 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 #: 8VAC20-800-830-C
Description: Based on record review and interview, documentation was not maintained of shelter in place drills.
Evidence:
1. Documentation of two shelter in place drills was not available at the time of the inspection.
2. Caregiver #1 stated that the shelter in place drills were conducted, but documentation was not recorded on the log sheet.

Plan of Correction: The provider will ensure that once the shelter in place drills are completed, they will document the log sheet.

Standard #: 8VAC20-800-920
Description: Based on observation, the menu for the current one week period was not dated.
Evidence:
1. The menu for the current one week period was posted without being dated.

Plan of Correction: The menu was dated at the time of the inspection. The provider will ensure that the dates are printed on the menu each week.

Standard #: 8VAC20-800-60-B
Description: Based on record review, children's records did not have required information.
Evidence:
1.Child #4's record (Start date-10/3/2022) did not contain documentation of medical insurance and policy number.

Plan of Correction: The provider will get the medical insurance and policy number from the parent and document the child's record.

Standard #: 8VAC20-800-210-A
Description: Based on record review and interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.
Evidence:
1. Caregiver #1's and Caregiver #2's record did not contain documentation of a minimum of sixteen clock hours of training annually in areas relevant to their responsibilities. No training hours had been completed for the year.
2. Caregiver #1 confirmed that sixteen hours of training had not been completed for Caregiver #1 and Caregiver #2.

Plan of Correction: The caregivers will complete the 16 hours of annual training in two weeks.

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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