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Brenda Arevalo
25791 Rawley Springs Drive
Chantilly, VA 20152
(703) 402-6431

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Feb. 9, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed the option of using a separate written enrollment contract instead of the "Information for Parents" model form. In order to do so, the provider must add the following to the current enrollment contract: sign in/out procedures; daily schedule; discipline policies; assistant caregiver information. In addition, the provider shall update the wording of her medication policy in the enrollment contract. The current contract indicates that the provider will administer medication; however, the provider has indicated on the required "Medication Policy" form that she will not administer medication. The provider shall continue to not allow any children in care to use the backyard trampoline.

Comments:
An unannounced full renewal inspection was conducted today. The provider was caring for 8 children, totaling 25 points. As the only caregiver present, this is 9 more points of children than are allowed by the Minimum Standards. The children were observed playing board games, playing with toys, reading stories, and interacting with the provider. The children were to be served chicken, rice, mixed vegetables, and milk for lunch later today. This inspection was completed between approximately 9:40 am and 12:10 pm. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on a review of caregiver records, it was determined that one record was not complete. Evidence: The file for assistant caregiver #1 does not include: the documented date of employment; emergency contact information; two reference checks.

Plan of Correction: If she stays working as my assistant I will make sure she fills out the form with the information.

Standard #: 22VAC40-111-50-A
Description: Based on a review of documents, it was determined that the provider did not keep an accurate record of children in attendance today. Evidence: During this inspection the provider was caring for a total of 8 children; however, the written attendance indicated a total of only 6 children.

Plan of Correction: I will make sure the attendance is always correct.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that two records were not complete. Evidence: 1. Record #2 does not include a shot record and a physical exam report. 2. Record #3 does not include documentation to indicate that the parent has reviewed the child's contact information within the past year. This file was most recently reviewed by the parent on 1/8/14.

Plan of Correction: The parents will be asked to update their child's file and make sure it's complete.

Standard #: 22VAC40-111-200-A
Description: Based on a review of caregiver records, it was determined that the provider did not complete Orientation Training for one newly hired assistant caregiver. Evidence: It was reported to the Inspector that assistant caregiver #1 began employment approximately January 26, 2015. The provider has not conducted Orientation Training for this caregiver.

Plan of Correction: I wasn't sure if I was going to continue having her work as my assistant. If she stays, I will do the orientation training with her.

Standard #: 22VAC40-111-210-A
Description: Based on a review of training documentation, it was determined that the provider did not attend at least 16 hours of training during the past year. Evidence: The provider attended a total of only 15 hours of training during the past year.

Plan of Correction: I will make sure I attend at least 16 training hours this year.

Standard #: 22VAC40-111-490
Description: Based on observations, it was determined that one piece of indoor climbing equipment over 18 inches high was placed over bare floor. Evidence: The provider has moved one piece of climbing equipment to a corner area of the child care room. One side of the climbing equipment has been placed over bare floor.

Plan of Correction: The climbing piece was moved and placed over absorbent rubber tiles during the inspection.

Standard #: 22VAC40-111-570-A
Description: Based on observations, it was determined that the provider was alone and caring for more than 16 points of children. Evidence: The provider was the only caregiver present during this inspection. The provider was caring for a total of 25 points of children.

Plan of Correction: My assistant called in sick at the last minute today. I called two different people to come and be my assistant today but neither was available. I will create a new system to ensure that I always have an assistant caregiver to work with me if I have over 16 points of children.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on a review of background checks, it was determined that the provider does not have all required background checks. Evidence: Assistant caregiver #1 has not signed a Sworn Disclosure Statement (SDS.)

Plan of Correction: I will make sure she signs the SDS before she returns to work with the kids.

Standard #: 22VAC40-191-60-C-1
Description: Based on a review of background checks, it was determined that the provider did not submit the Criminal History Record Check (CRC) within 7 days of the date of hire for assistant caregiver #1. Evidence: It was reported to the Inspector that assistant caregiver #1 began employment approximately January 26, 2015. The provider has not submitted the CRC request for this individual.

Plan of Correction: I wasn't sure if she was going to stay working with me. I will decide tomorrow if she's going to stay working here. If she does, then I will submit the CRC.

Standard #: 22VAC40-191-60-C-2
Description: Based on a review of background checks, it was determined that the provider did not submit the Child Protective Services Registry Check (CPS) within 7 days of the date of hire for assistant caregiver #1. Evidence: It was reported to the Inspector that assistant caregiver #1 began employment approximately January 26, 2015. The provider has not submitted the CPS request for this individual.

Plan of Correction: I wasn't sure if she was going to stay working with me. I will decide tomorrow if she's going to stay working here. If she does, then I will submit the CRC.

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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