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Angela Reyes Castro
111 Trout Lily Dr
Front royal, VA 22630
(703) 395-9107

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: March 4, 2024

Complaint Related: No

Areas Reviewed:
8VAC20-790 Subsidy Regulations

Comments:
A subsidy health and safety initial inspection was initiated on 03/04/2024 and concluded on 03/04/2024. The Inspector reviewed the vendor?s records submitted by the facility to ensure documentation was complete. The physical plant and emergency plan was inspected. Subsidy requirements were reviewed.

Information gathered during the inspection determined non-compliance with subsidy regulations and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 8VAC20-790-260-K
Description: Based on observation, the vendor did not ensure that stairs would not be accessible to children less than two years of age and children older than two years of age who are not developmentally ready to climb or descend stairs without supervision.

Evidence:
1. The vendor had two flights of stair that once children are in care they would have access. There was no gate or barrier to make the stairs inaccessible to the children.

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

Standard #: 8VAC20-790-280-A
Description: Based on observation, the vendor did not ensure that the running warm water did not exceed 120 degrees F.

Evidence:
1. The water in the handwashing sink was tested and the temperature was 123 degrees.

Plan of Correction: The vendor sent evidence that the temperature has been lowered on the hot water heater under 120 degrees F.

Standard #: 8VAC20-790-280-A
Description: Based on observation, the vendor did not ensure that the running warm water did not exceed 120 degrees F.

Evidence:
1. The water in the handwashing sink was tested and the temperature was 123 degrees.

Plan of Correction: The vendor sent evidence that there are gates on the stairs that the children would/could possibly have access to in the home.

Standard #: 8VAC20-790-420-A
Description: Based on record review, the vendor did not have a written emergency preparedness plan that addresses caregiver responsibility and home readiness with respect to emergency evacuation, relocation, lockdown, and shelter-in-place procedures.

Evidence:
1. When vendor was asked to provide an emergency preparedness plan, the vendor stated that one had not yet been created for the new location after she moved.

Plan of Correction: The vendor has sent evidence that there is a new emergency preparedness plan.

Standard #: 8VAC20-790-420-C
Description: Based on observation, the vendor did not have 911 or local dial number for police, fire, and emergency medical services and the number of the regional poison control center shall be posted in a visible and conspicuous place.

Evidence:
1. There were no 911/emergency services postings visible or in a conspicuous place.
2. The vendor confirmed that there was not a 911/emergency services posting.

Plan of Correction: The vendor has sent evidence that the emergency numbers/poison control number has been posted in a visible place.

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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