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Elena Maldonado
6606 Moly Drive
Falls church, VA 22046
(703) 615-3127

Current Inspector: Sharlene Sawyer (571) 835-5505

Inspection Date: Sept. 11, 2017 and Sept. 14, 2017

Complaint Related: Yes

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Emergencies
63.2 Facilities and Programs..
VENDHOM-000 Programs

Technical Assistance:
Discussed Maximum Capacity refers to any one time-7 is the Maximum Number permitted inside the home at one time.

Comments:
A complaint investigation has been completed. Inspector interviewed staff, reviewed records, and observed program in response to an allegation that the Provider was caring for more than 7 children at any one time. Based on evidence gathered, it was determined valid. The Inspector also found other standards not in compliance and the Provider has been given the findings of the investigation. Please call with questions 703-479-4679

Violations:
Standard #: 22VAC40-111-40-A
Complaint related: Yes
Description: Based on observation and record review it was determined the provider did not ensure that the total number of children receiving care at any one time did not exceed the maximum capacity of 7 children. Evidence: 1. On September 11, 2017 and September 14, 2017, the Inspector observed the Provider had more than 7 children present at one time. On September 11, 2017 there were 8 children and on September 14 there were 9 children present. 2. The Inspector asked why she was still caring for more then 7 and Provider stated an enforcement official was at her home on September 13 and she had 10 children present but told her another inspection would be conducted in mid October to ensure that she has reduced to 7.

Plan of Correction: I disenrolled all part time and so all full time/no more than 7

Standard #: 22VAC40-111-50-A
Complaint related: Yes
Description: Based on interviews and record review, it was determined the family day home did not keep a written record of children in attendance each day. Evidence: 1. On September 11, 2017, the Inspector requested attendance for the last week. The Provider showed the attendance sheet did not have each day with written record of children in attendance. The Provider had an attendance sheet for the last week in August but she said it was not complete because she said she did not always remember to put part time kids down on the sheet. 2. On September 14, 2017, the Inspector reviewed the attendance form for September 11 and September 13. September 11 had 6 names listed but there were 8 children present. The attendance record for September 13 had 6 recorded but she acknowledged she had 10 children that day. 3. On June 26, 2017, the Provider had been cited for not keeping a record of daily attendance except for the day the Inspector was present.

Plan of Correction: Everyday now I do it.

Standard #: 22VAC40-111-60-A
Complaint related: No
Description: Based on record review, it was determined the provider does not maintain an up-to-date record at the home for each enrolled child. Evidence: 1. On September 14, the Inspector arrived at lunch time. The provider gave the names of the children present and child #11 was a child the Inspector did not recognize. The Provider stated child # 11 was a new enrollment and that the child just started the day before and she did not have a record for the child.

Plan of Correction: She is disenrolled and I will keep for everyone now.

Standard #: 22VAC40-111-60-B
Complaint related: No
Description: Based on record review of children's files, it was determined that not all of the files contained all required information. evidence: 1. Child # 7 did not contain employment phone number for a parent. 2. Files for child #7 and #10 did not contain a physician's health report.

Plan of Correction: I have worked on the files- I got everything.

Standard #: 22VAC40-111-130
Complaint related: No
Description: Based on interviews, it was determined caregiver 2 was not able to speak, read, and write in English as necessary to carry out the assigned job responsibilities. Evidence: 1. Caregiver 2 was asked when she began employment and was not able to answer. When the Inspector asked her how many children was present and the age of one child, she did not answer. The Provider said she does not speak English and cannot read English. 2. During the inspection, the doorbell rang, the provider left caregiver 2 with the children and went upstairs to answer front door. The Inspector observed the caregiver with the children and asked her about what to do in an emergency while pointing to the evacuation diagram (floor plan). After a minute, caregiver 2 said, "No understand". 3. The provider acknowledged caregiver 2 does not speak and understand English but said she was working on it.

Plan of Correction: She is learning and will keep working to practice.

Standard #: 22VAC40-111-200-A
Complaint related: No
Description: Based on record review and interviews, it was determined the Provider did not orient the assistnat by the end of their first week of assuming job responsibilities. Evidence: 1. Assistant has been working since May, 2017 and there is no documentation of orientation in the file. The assistant was unable to answer questions about job. 2. The Provider was then asked why she has not gone over orientation information with caregiver 2, she stated she has not been able to get her into a training. When the Inspector asked how she directs caregiver #2, she said she tells her what to do.

Plan of Correction: I will record this.

Standard #: 22VAC40-111-240-A
Complaint related: No
Description: Based on observation, it was determined that the provider did not ensure that equipment was maintained in a safe manner when a plastic toy house was placed on an unstable shelf and resulted in a child pulling the item down onto one self. Evidence: 1. Inspector noted a toy doll house sitting on top of three plastic bins that were stacked up. During the inspection on September 11, the Inspector observed an infant crawled over and pull on the top plastic bin which caused the doll house to fall over and onto the infant. 2. Infant did not cry and the caregiver went over to pick up the child and then placed the doll house back onto stacked bins.

Plan of Correction: I already removed it. Everything flat on the floor.

Standard #: 22VAC40-111-530-F
Complaint related: No
Description: Based on observation, it was determined that an infant was placed on a boppy pillow for sleeping. Evidence: 1. On September 14, the Inspector observed 8 children upstairs in the kitchen with the Provider and a caregiver. The provider stated an infant was sleeping downstairs. 2. The Inspector walked downstairs and observed a sleeping infant in a crib but the infant was laying face up on top of a boppy pillow. 3. The Provider stated the parent wanted the infant to sleep on it and that the parent wanted the pillow because the infant throws up.

Plan of Correction: I no longer use it.

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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