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Amena Sultana
5213 Juliet Street
Springfield, VA 22151
(703) 354-2286

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: March 12, 2024

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
8VAC20-820 THE LICENSE.
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

Comments:
An unannounced monitoring inspection was conducted today between 12:30pm-1:35pm. There were 4 children present with the Provider for a total of 9 points within the supervision guidelines. The children were observed playing and taking a nap. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and staff records, evacuation drill log and attendance were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation. If you have any questions, please e-mail me at shahana.green@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of caregiver and household member records, all caregivers and household members did not submit to fingerprinting as required.

Evidence:
1. Household member #1 did not have documentation of fingerprints results on file at the time of the inspection.
2. Caregiver #1 did not have documentation of fingerprints results on file at the time of the inspection.

Plan of Correction: We will get the background checks within 10 business days as required.

Standard #: 22.1-289.036-A
Description: Based on a review of caregiver and household member records, the provider did not obtain documentation for all 5 year repeat background checks.

Evidence:
1. Household Member #1's record did not have documentation of an updated sworn statement (expired 8/1/2023) and an updated central registry results (expired 8/17/2023)
4. Caregiver #1's record did not have documentation of an updated sworn statement (expired 8/1/2023) and an updated central registry results (expired 8/17/2023).

Plan of Correction: We will get the background checks within 10 business days as required.

Standard #: 8VAC20-800-830-A
Description: Based on observation, the emergency evacuation procedures were not practiced monthly with all caregivers and children in care during all shifts that children are in care.

Evidence:
1. There was no documentation that a monthly evacuation drill was practiced for the month of February.

Plan of Correction: I will make sure we practice the fire drills every month.

Standard #: 8VAC20-800-100-A
Description: Based on a review of children's records, the Provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance for 1 out of 4 children.

Evidence:
1. Child #1 (doe: 1/2/2024) did not have documentation of a physical examination on file at the time of the inspection.

Plan of Correction: I will ask the parent to bring the physical for the child.

Standard #: 8VAC20-800-60-B
Description: Based on a review of children's records, 1 out of 4 children's records did not contain the required information.

Evidence:
1. Child #1 was missing Emergency Medical Care Authorization form and the Provisions of the Emergency Preparedness Plan form.
2. Child #2, Child #3, and Child #4 were missing Emergency Medical Care Authorization form and the Child record form which includes information regarding parent's contact and emergency contacts.

Plan of Correction: I will ask the parents for the missing forms.

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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