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Maria Chavez Casalino
8477 Kitchener Drive
Springfield, VA 22153
(703) 569-2677

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Sept. 6, 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
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
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:
Consultation was provided for the following: maintaining complete household member, staff and children's records, reminded provider that that when household member reaches the age of 14 provider must obtain central registry results, 16 annual training hours must be completed by October.

Comments:
An unannounced renewal inspection was conducted today from 10:10am to 1:00pm. There were 6 children (14 points) in care of two caregivers. The children were observed playing with toys, coloring, eating lunch and preparing for nap time. The lunch menu included ham and cheese quesadillas, broccoli, bananas and milk. There were no medications on site. 6 children, 3 caregiver and 1 household member records were reviewed. The physical plant was assessed. Emergency drill records were reviewed. Areas of non compliance are listed in the violation notice. For any questions regarding this inspection please contact me at mahrukh.aziz@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation, the lunch and snack menu for the one week period was not posted. Evidence: The menu for the last week of August was posted on the provider's bulletin board. The menu for the current week was not posted.

Plan of Correction: I will post the menu weekly.

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider did not ensure that the total number of children receiving care does not exceed the maximum licensed capacity of the home. Evidence: 1. The provider is licensed for the care of 5 children. 2. There were 6 children present during the inspection. 3. Caregiver # 1 stated that Child # 1's parent needed emergency care for today and that is the reason Child # 1was at the family day home . Caregiver # 1 stated that Child # 1 attended the family day home only today.

Plan of Correction: I will tell the child's parent that the child can no longer attend at least until provider gets the special permit for increased capacity.

Standard #: 22VAC40-111-50-A
Description: Based on record review and staff interview, the family day home did not keep a written record of attendance each day. Evidence: 1. Caregiver # 1 was observed completing the attendance form upon the arrival of the inspector. 2. When reviewing the attendance forms, discrepancies were noted by the inspector. When the inspector asked Caregiver # 1 to explain the discrepancies, the caregiver stated that she had not recorded written attendance for the children in care for the current week and was recording that this morning.

Plan of Correction: I will make sure that attendance is recorded accurately and daily.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children enrolled did not have complete records with all required information. Evidence: 1. Child # 2's record was missing the physician's information including name and telephone number. Child # 2's record was also missing the family day home's emergency plan. 2. Child # 3, Child # 4, Child # 5 and Child # 6's records were missing information for person authorized to pick up. 3. Child # 5's most recent annual update was dated 2/8/17. Child's # 2's record was not updated annually. 4. Child # 6's most recent annual update was dated 2/2/17. Child # 6's record was not updated annually.

Plan of Correction: I will have the parents complete the missing information.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the family day home did not obtain documentation of additional immunizations for a child. Evidence: Child # 1's (age 13 months) record did not have additional immunization records every six months. Child # 1's first day of attendance was listed as 11/7/17.

Plan of Correction: The mother can bring in additional shot records to keep in file.

Standard #: 22VAC40-111-180-A
Description: Based on record review and staff interview, the provider did not obtain for each household member a subsequent Tuberculosis (TB) Screening every two years from the date of the most recent screening. Evidence: Household member # 1's most recent TB screening was dated 1/27/16. Caregiver # 1 stated that Household member # 1 got an updated screening done but she could not find the documentation.

Plan of Correction: I will find the screening and keep with my records.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, the family day home provider did not obtain central registry results for caregivers.
Evidence: Caregiver # 2's central registry most recent results were dated 6/25/13 and expired in 6/25/18. Updated central registry results were not obtained for Caregiver # 2.

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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