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Fabiola Nina Gutierrez
706 N. George Mason Drive
Arlington, VA 22203
(571) 259-2133

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: April 23, 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 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

Technical Assistance:
The provider is in the process of repainting the wood playground equipment as the paint is chipping off. The emergency plan is in place, however the provider needs to confirm an off location in an emergency.

Comments:
An announced new provider visit was conducted today between the hours of 10:14am through 12:15pm with the provider on site. There were no children here today. A sample of the children's forms the provider plans to use were reviewed and and 4 staff/household member's files were reviewed. The home is clean and organized with an abundant supply of toys. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov 571-835-0386.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review, the provider's first aid kit did not contain all required items. Evidence: 1. The first aid kit was missing one triangular bandage and a working thermometer.

Plan of Correction: I will purchase them.

Standard #: 22VAC40-111-770
Description: Based on interview, the provider did not have a working battery-operated flashlight, a working portable battery-operated weather band radio and extra batteries. Evidence: 1. The provider stated she did not have a radio and had a flashlight that was working.

Plan of Correction: I will purchase batteries and a new radio.

Standard #: 22VAC40-111-320-G
Description: Based on interview, the provider did not have the wood burning fireplace and associated chimneys inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1. The provider stated she did not have the fireplace inspected in the last year.

Plan of Correction: The provider plans to permanently seal the fireplace.

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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