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Fatema Hashemi
13107 Quate Lane
Woodbridge, VA 22192
(703) 334-1508

Current Inspector: Shawanda Henderson (540) 216-1434

Inspection Date: May 31, 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 Emergencies
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Comments:
An announced initial inspection was conducted with the provider and assistant on May 31, 2024, beginning at 9:30 a.m. and ending at 11:0 a.m. There were 3 children with three caregivers' children, ages 2, 2, 2, 3, 7, and 7 years old, in the care of two caregivers for a total of 10 points. The children were observed playing with toys and age-appropriate television. The provider's record and two household members records were reviewed and in compliance. The emergency supplies were observed. Not all of the licensing standards were able to be assessed during this inspection.

If there are any questions regarding this inspection, contact the licensing inspector, Shawanda Henderson, at 540-216-1434 or Shawanda.Henderson@doe.virginia.gov.

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on a review of documentation, the provider did not ensure that all employees submit to fingerprinting and provide personal descriptive information described in subdivision B 2 of ? 19.2-392.02. Evidence: There was no documentation of fingerprinting background check being conducted for caregiver # 2.

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

Standard #: 8VAC20-770-60-B
Description: Based on a review of documentation, the provider did not have obtain a sworn statement or affirmation from all employees or volunteers. Evidence: There was no documentation of a sworn statement for caregiver # 2.

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

Standard #: 8VAC20-770-60-C-2
Description: Based on a review of documentation, the provider did not have documentation of a central registry finding within 30 days of employment or volunteer service. Evidence: Caregiver # 2 did not have documentation of a central registry finding. Caregiver # 2 has been working with the provider for more than 30 days.

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

Standard #: 8VAC20-800-770
Description: Based on a review of emergency supplies, the provider did not ensure that a working battery-operated flashlight, a working portable battery-operated weather band radio, and extra batteries shall be kept in a designated area and be available to caregivers at all times. Evidence: The provider did not have a flashlight and radio available during the inspection.

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

Standard #: 8VAC20-800-790
Description: Based on observation, the provider did not have required emergency telephone numbers were posted in a visible area close to the telephone. Evidence: The required emergency phone numbers were not posted in a visible area of the family day home.

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

Standard #: 8VAC20-800-800-A
Description: Based on a review of documentation and interview, the provider did not have a written emergency preparedness plan that contained all the required information. Evidence: The provider confirmed that she did not have a written emergency preparedness plan during the inspection.

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

Standard #: 8VAC20-800-100-A
Description: Based on a review of documentation, 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. Evidence: There was no documentation of a physical examination for the three children in care. The children have been attending the family day home program more than 30 days.

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

Standard #: 8VAC20-800-120-B
Description: Based on a review of documentation, the provider did not have a record for the assistant containing the required information. Evidence: There was no record for caregiver # 2.

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

Standard #: 8VAC20-800-50-A
Description: Based on a review of documentation, the provider did not keep a written record of children in attendance each day. Evidence: There was not written record of attendance available during the inspection.

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

Standard #: 8VAC20-800-80-C
Description: Based on a review of documentation, the provider did not ensure that children's records contained the required information. Evidence: The provider did not have children's records for three children in care.

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

Standard #: 8VAC20-800-90-A
Description: Based on a review of documentation, the provider dd not obtain documentation that each child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations prior to the first day of attendance. Evidence: The provider did not have documentation of immunization for the three children in care.

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

Standard #: 8VAC20-800-240-A
Description: Based on observation, the provider did not ensure all areas and furnishings inside and outside the family day home were maintained in a clean, safe, and operable condition. Evidence: The door to small room in the basement had a hole in it below the door knob. The hole created an scratching and entanglement hazards. In a small room in the basement, there was a crib with two broken wheels, the crib was unstable and wobbled. In the back yard near the gate there were two pieces of wood with rust nails sticking out. The wooden playset in the back yard was shaky and unstable. One of the wooden steps of the ladder was broken.

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

Standard #: 8VAC20-800-280
Description: Based on observation, the provider did not ensure that potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. Evidence: In the kitchen, there was can of Lysol on the stovetop with food near by. On cabinet in front of the stairs on the main level of the home, there was a can of Airwick, Lysol wipes, can of furniture polish, and a can of mosquito fogger. In the basement bathroom cabinet, there were in 3 cans of Lysol, Clorox cleaner, Dawn dish detergent, Comet cleaner, Lysol toilet bowl cleaner, Febreeze, Goof Off household heavy duty cleaner, Microban sanitizing spray, and Instant Power heavy duty drain opener. In the basement bathroom on the floor behind the sink, there was a bottle of Drano Max gel.

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

Standard #: 8VAC20-800-330-A
Description: Based on observation and interview, the provider did not ensure there was a landline telephone, excluding a cordless or cell phone, shall be available, operable, and accessible during the family day home's hours of operation. Evidence: The provider did not have a landline telephone in the home during the inspection.

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

Standard #: 8VAC20-800-350-E
Description: Based on observation, the provider did not ensure that the hot water at taps available to children was maintained within a range of 105 to 120 degrees. Evidence: The hot water tap was tested using a thermometer and water was 132 degrees.

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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