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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Clotilde Espinoza
4602 15th Street, N
Arlington, VA 22207
(703) 525-8862

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: Aug. 22, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Personnel
22VAC40-111 Household Members
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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition

Today an unannounced two-month visit was conducted with the Provider. This visit took place in the morning between 9:00am-10:45 there were 4 children with the Provider and 2 assistants for a total of 16 points within the supervision guidelines. The children were observed having morning free play, using gross motor skills, tummy time, free play. Positive interactions were observed during this inspection. A complete inspection of the physical plant, children and provider records, and emergency procedures were observed during this inspection. If you have any questions, please e-mail me at

Standard #: 22VAC40-111-960-E
Description: Based on observation of the infant bottles, bottles did not include child's full name and date. Evidence: Child #4's bottle did not include the name and or date.

Plan of Correction: Provider stated that she will label it immediately.

Standard #: 22VAC40-111-60-B
Description: Based upon a review of files, children's files are incomplete. Evidence: *1 of 4 files reviewed was missing complete health insurance information. (Child 2)

Plan of Correction: Provider stated that she will ask the parent for the information.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation and review of the provider records, the provider did not have the findings from the most recent inspection of the facility. Evidence: Upon arrival, the violation notice dated 5/19/16 was not posted at the family day home.

Plan of Correction: Provider stated that she was only given the license and did not know what the violation notice was. Provider was informed that it must be posted at all times with license.

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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