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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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Lucia Martinez
5646 Kathryn Street
Alexandria, VA 22303
(703) 960-6438

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: April 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 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
63.2 General Provisions.
63.2 Facilities and Programs..
22VAC40-191 Background Checks for Child Welfare Agencies

An unannounced inspection has been conducted today from 245-345. There were 6 children with 2 staff for a total of 19 points. The children were just waking up and getting ready for snack. The Inspector reviewed records and checked the house. The Provider stated she sees walls need to be patched. Interactions with staff was also observed and the children showed the inspector the toys. Please call with questions 703-479-4679

Standard #: 22VAC40-111-120-B
Description: Record review and interviews regarding staff #2 revealed the Provider did not obtain and maintain the caregiver's record. Evidence: 1. Interviews with staff revealed the staff member started in late February, 2017. 2. The file did not contain Start date, 2 references ( file only contains 1), orientation documentation to ensure caregiver was trained for the position; and emergency contact and phone number.

Plan of Correction: I will get the file completed.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the Provider is not maintaining the home in a clean and safe manner as evident of the materials and items in the back room in which children need to pass through to get to the outside. Items include cleaning bottles and stacked containers and broken pieces. The outside area is also not maintained as evident by antifreeze, and other items in areas accessible to children.

Plan of Correction: I have been working on it and will get it all cleaned up.

Standard #: 22VAC40-191-40-D-1-a
Description: Based on record review, the Provider failed to obtain a CRC clearance for staff #1 before the end of 30 days after being hired. 1. Provider showed the Inspector that the CRC was sent back because the form contained an error regarding the signature and the Inspector noted the form was dated April 21and it is 2 months since the staff member started.

Plan of Correction: I will get the clearance sent with the correct signature.

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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