Saba Beraki
15525 Marsh Overlook Drive
Woodbridge, VA 22191
(703) 878-8929
VDSS Contact:
Donna Liberman
(540) 359-5244
Inspection Date:
March 19, 2021
Complaint Related:
No
Areas Reviewed:
22VAC40-180 HEALTH AND SAFETY CRITERIA AND CHECKLIST. 22VAC40-191 Background Checks for Child Welfare Agencies
Technical Assistance:
Provided forms and information on fire drill log, proof of identification and the Consumer Product Safety Commission (CPSC) mandatory safety standards for cribs as well as where to find current forms for Voluntary Registered Family Day Homes on the website.
Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
An announced initial inspection was initiated on March 19, 2021 and concluded on March 23, 2021. The provider was contacted by video call to initiate the inspection. There was one child in care for a total of four points. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed one caregiver record and five household member record submitted by the facility to ensure documentation was complete. The provider cannot administer medication as she is not Medication Administration Training (MAT) certified.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.
Based on review of the Voluntary Registration Health and Safety Checklist, not all requirements were met during the inspection. Evidence: 1. There was no posted evacuation plan. 2. A Delta brand crib being used for a 17 month old in care did not have documentation of meeting current Consumer Product Safety Commission (CPSC) guidelines. The crib has a manufacture date of November 2007 and does not meet the safety standards of manufacture date of June 28, 2011 and requires additional documentation from the manufacturer. 3. There was no thermometer to check the temperature of the fridge to ensure it was at 40 degrees or lower as required. 4. There was no documentation of a physical exam for Child #1, start date 1/25/21, Child #2, start date 8/26/19 or Child #3,start date 1/25/21. 5. There was no documenation of immunizations for Child #1, start date 1/25/21, Child #2, start date 8/26/19 or Child #3, start date 1/25/21 by the first day of attendance. 6. Child #1 and Child #3, start date 1/25/21,records did not have parents' place of employment, employment address or work phone number or one emergency contact with name, address and phone number. There was no documentation of proof of identification. 7. Child #2, start date 8/26/2019, record did not have address for employers for the parents, an address for an emergency contact or documentation of proof of identity. 8. There was no documentation of written notification of the family day home having or not having liability insurance converage signed by the parents of the children enrolled.
Plan of Correction:
1. Evacuation plan will be completed and posted in accordance with the Voluntary Registration form. 2. The Delta brand crib is no longer in use. 3. Thermometer for the fridge has been purchased & will be installed upon arrival (4/4/21) 4. Physical examination information has been requested from parents of all children 5. Documentation of immunization has been received 6. The missing information for Child #1 and Child #3 has been requested and a new child record form will be filled out 7. The missing information for Child #2 has been requested and a new child record form will be filled out 8. Parents will sign a form indicating that the family day care home does not have liability coverage insurance for children enrolled.
Standard #:
22VAC40-191-40-B-1
Description:
Based on review of documentation and interview with the provider, household members did not have documentation of a sworn statement or central registry background check as required. Evidence: Household member A, Household member C, Household member D, Household member E did not have documentation of a central registry background check or a sworn statement. Household member F did not have documentation of a central registry background check.
Plan of Correction:
Central Registry background check forms will be mailed for household members A, B, C, D, E and F. Household members A, B, C, D, E and F will sign and fill out the sworn statement
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.
Find this content at:
http://www.dss.virginia.gov/facility/search/cc.cgi