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Marcela Munoz
5400 Donnelly Ct.
Springfield, VA 22151
(703) 978-3912

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: Feb. 14, 2019

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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Technical assistance was provided regarding, all background checks must be completed as soon as a household member turns 18. Also discussed the importance of a mounted gate at the top of the stairs and all children must be monitored while sleeping.

Comments:
An unannounced renewal inspection was conducted today from 10:00am-2:30pm. There were 8 children (25 points) supervised by 2 direct caregivers. The home, staff records, children?s records, household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing outside, playing inside and eating lunch. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, please contact nancy.radcliffe@dss.virginia.gov or call 703-268-3728

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, topical skin products were not all labeled with child's name. Evidence: Diaper cream located in the bathroom was not labeled with child's name.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-830-D
Description: Based on review of emergency procedures, there is no documentation of shelter in place drills. Evidence: There is no docuementation of shelter in place drills for 2018.

Plan of Correction: I will document them when we do them.

Standard #: 22VAC40-111-920
Description: Based on observation, the current posted menu is not updated. Evidence: Current posted menu did not reflect what was actually served for lunch during the inspection.

Plan of Correction: I will update it.

Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles were not labeled with child's full name and date. Evidence: Two bottles had no identification labels on them.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-170-A
Description: Based on review of household member records, not all members have a report of a tuberculosis (TB) screening or test. Evidence: Household member #1 and #2 do not have documentation of a TB screening or test, prior to coming into contact with children.

Plan of Correction: They will have a TB test or screening done and I will send you the results.

Standard #: 22VAC40-111-180-A
Description: Based on review of providers record, there is no documentation of a current tuberculosis (TB) screening or test. Evidence: Staff #1 does not have documentation of a current TB screening or test on file, the last test expired 1/18/18.

Plan of Correction: I will have it done and send you the results.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas of the home are not maintained in a safe condition. Evidence: Accessible to children on the wall going downstairs, dime sized, chipped paint was observed.

Plan of Correction: I will patch the chipped paint.

Standard #: 22VAC40-111-280
Description: Based on observation potentially poisonous substances and supplies are accessible to children. Evidence: Cleaning agents and personal items were unlocked in the bathroom and closets, making them accessible to children.

Plan of Correction: I will make sure everything is locked up.

Standard #: 22VAC40-111-290
Description: Based on observation sharp kitchen utensils are accessible to children. Evidence: Adult scissors and sharp knives were accessible to children in 2 unlocked kitchen drawers.

Plan of Correction: I will put locks on the kitchen drawers.

Standard #: 22VAC40-111-320-A
Description: Based on observation, small electrical appliances were not unplugged when not in use. Evidence: Small electrical appliances were plugged in when not in use.

Plan of Correction: I will make sure they are unplugged when not in use.

Standard #: 22VAC40-111-430-B
Description: Based on observation, accordion and pressure mounted gates are being used as protective barriers at stair openings. Evidence: Accordion and pressure mounted gates are being used as protective barriers at stair opening going downstairs and upstairs.

Plan of Correction: I will replace the gates with screw in permanent gates.

Standard #: 22VAC40-111-520-B
Description: Based on observation, a crib was being used as a play space. Evidence: A toddler who was not sleeping, was placed in a crib to play.

Plan of Correction: I won't let them play in a crib.

Standard #: 22VAC40-111-560-A
Description: Based on observation, infants sleeping in upstairs bedrooms were not monitored. Evidence: Two infants were sleeping in 2 separate bedrooms upstairs, with no baby monitor on or provider checking them every 15 minutes.

Plan of Correction: I have a baby monitor, I will make sure it is on.

Standard #: 22VAC40-111-690-D
Description: Based on observation and interview with provider, the diaper changing pad is not being cleaned and sanitized according to the standards. Evidence: Provider stated she wipes the changing pad with a wipe after each diaper change. The proper procedure is to spray the pad with soap and water and dry, then spray with bleach and water and allow to air dry.

Plan of Correction: I will begin using the spray bottle method.

Standard #: 63.2-1721.1-B-1
Description: Based on review of household members records, sworn statements have not been completed. Evidence: Household member #1 and #2 do not have documentation of a completed sworn statement.

Plan of Correction: I will have them complete the form today and send you a copy of the completed form.

Standard #: 63.2-1721.1-E
Description: Based on review of household members records, there is no documentation of Central Registry results. Evidence: Household member #1 and #2 do not have documentation of a Central Registry result.

Plan of Correction: I mailed it, I am waiting on the results.

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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