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Saba Beraki
15525 Marsh Overlook Drive
Woodbridge, VA 22191
(703) 878-8929

VDSS Contact: Donna Liberman (540) 359-5244

Inspection Date: April 11, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-850 PROVIDER REGISTRATION AND GENERAL PROCEDURES
8VAC20-850-110 HEALTH AND SAFETY CHECKLIST
20 Access to minor?s records
22.1 Background Checks Code; storage of firearms
63.2 Child abuse and neglect
8VAC20-770 Background Checks

Comments:
An unannounced renewal inspection was conducted on 4/11/2023. There were six children present with the provider during the inspection for a total of 14 points. The inspector reviewed the health and safety checklist items including: posted documentation, the flashlight and first aid kit, meals and snacks, naptime and safe sleep routines, indoor play areas, and hand washing. Six child records and five provider/household member records were reviewed. 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. A follow up inspection was conducted on 5/1/23 and two children were observed in care.

Please provide a corrective action plan, that describes the standard not met, the action to be taken to meet it and the date by which it shall be completed, with your signature, by 4:00pm Monday, May 15, 2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:
Standard #: 8VAC20-770-60-B
Description: Based on review of five provider/household member records, it was determined that not all providers/household members had a sworn statement. Evidence: the record for provider #1 did not contain documentation of a sworn statement.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on review of five provider/household member records, it was determined that not all providers/household members had an original central registry report. Evidence: the records for provider #1, household member #2 and household member #3 did not contain documentation of a central registry report.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-850-100-A
Description: Based on observation and interview, the provider failed to ensure that the number of children receiving care at any one time does not exceed four, which is the maximum capacity by law. Evidence: six children were observed in care, and no children reside in the provider's home.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-850-90-B
Description: Based on review of documentation, it was determined that not all enrolled children have a signed statement from the parent affirming receipt of the "Information to Parents" statement. Evidence: there was no signed statement in the following child records affirming receipt of the "Information to Parents."
1) Child #1 (date of first attendance: 5/7/21)
2) Child #2 (date of first attendance: 12/17/21)
3) Child #3 (date of first attendance: 10/12/21)
4) Child #4 (date of first attendance: 1/3/22)
5) Child #5 (date of first attendance: 3/22/22)
6) Child #6 (date of first attendance: no date documented)

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-850-90-C
Description: Based on review of six child records, it was determined that not all enrolled children have a record that contains all required information. Evidence: there was no record for Child #6 who was observed in care.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-850-110-C
Description: Based on observation and interview, the provider was not in compliance with the criteria on the health and safety checklist. Evidence:
1) Section 1: there was no medical release form for child #2, child #3, child #5 or child #6 permitting emergency care; there was no name and phone number to contact in case of emergency for child #6; the provider did not practice emergency evacuation drills monthly and does not have a posted evacuation plan;
2) Section 3: there was no documentation of a physical examination for child #1, child #2, child #4, child #5 or child #6 before or within 30 days after enrollment; there was no documentation of immunizations for child #1, child #4 or child #6;
3) Section 5: adult household members #4 and #5 did not have documentation of a TB test/screening; there was not documentation that proof of each child's identity and age was viewed for child #2, child #3, child #5 or child #6; there was not documentation that written notification of whether or not the home has liability insurance or not was provided to parents of child #3, child #4, child #5 or child #6;

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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