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Fabiola Salinas
8471 Summer Breeze Lane
Springfield, VA 22153
(571) 223-6721

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Jan. 25, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
1. Reviewed enrollment paperwork requirements. 2. Reviewed staff employment paperwork requirements. 3. Reviewed medication requirements. Expired medications should be returned to parents, or discarded and not given to children. 4. Diapering procedures reviewed. 5. One caregiver may care for children that total a maximum number of 16 points. The Provider will need to count points throughout the day to ensure compliance, as the current assistant works part-time. To be counted as a caregiver, the adult needs to be present in the daycare and not elsewhere in the home.

Comments:
Conducted an unannounced renewal inspection 11:05am-1:10pm. Observed 8 children = 20 points with the Provider + recently hired Assistant #1. Supervision was active and the caregivers demonstrated an awareness of what children were doing throughout the inspection. Children were having indoor free play, singing, listening to music, playing musical instruments, washing hands, and eating lunch. Lunch served: chicken noodle soup with mixed vegetables, oranges, and milk. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. The outdoor play areas were not inspected today. Medication management was not in compliance. Required documents were posted. Record keeping violations found. Questions about this inspection may be directed to: pamela.sneed@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on records reviewed, it was determined that medications belonging to children were on-site without written authorization from parents. Evidence: There were a total of 7 over-the-counter medications belonging to 6 different children on-site today, and none had written parent authorization.

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

Standard #: 22VAC40-111-900-B
Description: Based on observations made, it was determined that a child was allowed to drink from a bottle while lying down in a crib. Evidence: Child #2 was observed sleeping in a crib with a baby bottle of milk.

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

Standard #: 22VAC40-111-100-A
Description: Based on records reviewed, it was determined that 2 of 9 children's records reviewed did not include documentation of a physical exam prior to attendance, or within 30 days after the first day of attendance. Evidence: 1. Child #2 - There was no physical exam on-file, and the child first attended in April 2016. 2. Child #3 - There was no physical exam on-file, and the child first attended in September 2013.

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

Standard #: 22VAC40-111-120-A
Description: Based on records reviewed and interviews conducted, it was determined that the Provider has not maintained an employment record for Assistant #1. Evidence: The Provider stated that Assistant #1 began working in the daycare on 1/23/17, and that she had not yet completed the required employment paperwork, to include: name, address, emergency contact information, verification of age, job title, date of employment, written reference checks, health information, related work experience, education, and training.

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

Standard #: 22VAC40-111-50-A
Description: Based on records reviewed, it was determined that a written record of children in attendance each day has not been maintained. Evidence: There was no documentation of children in attendance for 1/24/17.

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

Standard #: 22VAC40-111-60-A
Description: Based on records reviewed and interviews conducted, it was determined that a written enrollment record was not maintained for 1 of 8 children present today. Evidence: There was no enrollment record for Child #11. The Provider stated the child began attending on 1/23/17, and she did not realize that the child needed an enrollment record.

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

Standard #: 22VAC40-111-60-B
Description: Based on records reviewed, it was determined that 7 of 9 children's records did not include required information. Evidence: 1. Child #1 - There was no documentation of the medical insurance policy number. 2. Child #2 - There was no day specified in the date of enrollment, the name, address, and telephone number for 1 of 2 emergency contacts was left blank, and there was no medical insurance policy number documented. 3. Child #3 - There was no day specified in the date of enrollment, the name, address, and telephone number for 1 of 2 emergency contacts was left blank, and there was no medical insurance policy number documented. 4. Child #5 - There was no day specified in the date of enrollment. 5. Child #6 - There was no day specified in the date of enrollment, and the name, address, and telephone number for 1 of 2 emergency contacts was left blank. 6. Child #7 - There was no day specified in the date of enrollment. 7. Child #9 - There was no documentation of the date of enrollment.

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

Standard #: 22VAC40-111-90-A
Description: Based on records reviewed, it was determined that 1 of 8 children present today did not have documentation of immunizations before the child was allowed to attend. Evidence: There were no immunizations on-file for Child #11, who reportedly began attending on 1/23/17.

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

Standard #: 22VAC40-111-90-C
Description: Based on records reviewed, it was determined that 2 of 9 children's records reviewed did not include documentation of immunizations updated every 6 months until the age of 2 years old. Evidence: 1. Child #2 - The immunizations on-file were dated May 2016, and the child's date of birth is 2/17/16. 2. Child #9 - The immunizations on-file were dated June 2016, and the child's date of birth is 6/9/15.

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

Standard #: 22VAC40-111-170-A
Description: Based on records reviewed, it was determined that the Provider did not obtain a current TB screening for Assistant #1 prior to coming into contact with the children. Evidence: A TB screening had not been completed.

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

Standard #: 22VAC40-111-280
Description: Based on observations made, it was determined that a potentially poisonous substance was not stored in an area inaccessible to children. Evidence: A liquid toilet cleaning product was observed sitting on the side of the bathtub in the bathroom children were observed using.

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

Standard #: 22VAC40-111-350-E
Description: Based on observations made, it was determined that the hot water temperature did not fall within a range of 105-120 degrees. Evidence: The hot water temperature was measured in the daycare bathroom to be 121.9 degrees.

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

Standard #: 22VAC40-111-680-A
Description: Based on observations made, it was determined that the Provider did not wash her hands with liquid soap and warm running water after changing a child's diaper. Evidence: After changing the diaper, the Provider proceeded with other tasks and touching multiple surfaces.

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

Standard #: 22VAC40-111-690-D
Description: Based on observations made, it was determined that the diaper changing surface was not cleaned after a diaper change. Evidence: The Provider did not clean the surface with soap and water before sanitizing it.

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

Standard #: 22VAC40-191-60-B
Description: Based on records reviewed, it was determined that Assistant #1 has been employed without first completing a Sworn Disclosure Statement (SDS). Evidence: Assistant #1 began working on 1/23/17, and to-date has not completed a SDS.

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

Standard #: 22VAC40-80-120-A-4
Description: Based on observations made, it was determined that the Provider was not operating within the terms of the license today. Evidence: The maximum capacity of 7 children was exceeded, as there were 8 children present.

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

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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