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Elena Cerro
7226 Sipes Lane
Annandale, VA 22003
(571) 488-4926

Current Inspector: Sharlene Sawyer (571) 835-5505

Inspection Date: March 26, 2018

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
63.2 Child Abuse and Neglect
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:
Provider and inspector discussed record keeping and maintaining files. We also discussed fingerprints and changes in background checks.

Comments:
An unannounced monitoring inspection was conducted today from 1:00pm-3:30pm. There were 11 children (28 points) directly supervised by 2 staff. The home, 2 staff records, 3 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed napping, playing freely and eating snack. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, medications were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Two medications were observed in an unlocked plastic storage drawer.

Plan of Correction: Medications were discarded.

Standard #: 22VAC40-111-750-A
Description: Based on observation, topical skin products were not labeled with the child's name and did not have written authorization from parents. Evidence: 8 topical skin products from diaper ointments to lotions were not labeled and did not have written authorizations from parents.

Plan of Correction: The topical creams were labeled and I will have parents fill out the slips.

Standard #: 22VAC40-111-100-A
Description: Based on record review, two of three children did not have documentation of immunizations. Evidence: Child B and C did not have documentation of a physical examination by a physician within 30 days of first day of attendance. (Child B, DOA: 12/2017 and Child C, DOA:12/2017)

Plan of Correction: I will talk to parents.

Standard #: 22VAC40-111-120-A
Description: Based on record review, the provider did not have a record for each caregiver. Evidence: The provider did not have a record for Caregiver A. (Caregiver A, DOH 3/2018)

Plan of Correction: I will make a file.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the provider did not maintain a complete record for each caregiver. Evidence: Caregiver A's record is missing verification of identity, job title, date of hire, two references, date of hire, and emergency contact.

Plan of Correction: I will complete the file.

Standard #: 22VAC40-111-60-B
Description: Based on record review, two of three children's files reviewed were not complete. Evidence: 1) Child B and C are missing a medical insurance policy number.

Plan of Correction: I will ask parents for the information.

Standard #: 22VAC40-111-70-A
Description: Based on record review, the provider did not ensure all parents received all required written information before the child's first day of attendance. Evidence: Child B and C do not have information regarding the provider's liability insurance, emergency plan, daily schedule, fees, holidays, and termination and discipline policies.

Plan of Correction: I will do it.

Standard #: 22VAC40-111-90-A
Description: Based on record review, two of three children did not have documentation of immunizations. Evidence: Child B and C did not have documentation of immunization in the records.

Plan of Correction: I will talk to parents.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain from each caregiver and each adult household member a current Report of Tuberculosis Screening form. Evidence: 1) Caregiver A does not have a tuberculosis screening in the record. (state date: 3/2018) 2) Household member A does not have a tuberculosis screening in the record.

Plan of Correction: They will get the screenings.

Standard #: 22VAC40-111-200-A
Description: Based on record review, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence: Caregiver A does not have documentation of the completion of orientation by the end of their first week of assuming job responsibilities. (Caregiver A, state date: 3/2018)

Plan of Correction: I will do the orientation.

Standard #: 22VAC40-111-240-A
Description: Based on observation areas inside and outside of the home were not maintained in a clean and safe condition. Evidence: 1) On the door frame entering the home, there is visible areas of chipping paint accessible to children as they enter the home. 2) The two door frames entering the two sleeping rooms has exposed nails which cause a potential safety hazard to children.

Plan of Correction: We will fix it this week.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, the provider did not ensure all persons living in the home 18 years of age and older have a completed all required background checks. Evidence: Household member A does not have a completed sworn statement.

Plan of Correction: I will have them do background checks

Standard #: 22VAC40-191-60-B
Description: Based on record review, the provider did not have all caregivers complete a sworn statement prior to employment. Evidence: Caregiver A does not have a sworn statement on file.

Plan of Correction: I will have them do background checks

Standard #: 63.2-1721.1-A
Description: Based on record review, the provider did not obtain all required background checks on household members. Evidence: Household member A does not have a completed fingerprint background check completed.

Plan of Correction: I will have them do background checks

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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