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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Dina Ibarra
9221 Wildwood Street
Lorton, VA 22079
(571) 239-2488

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: March 13, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Facilities and Programs

Technical Assistance:
Licensing inspector discussed posting requirements with provider.

An unannounced renewal inspection was conducted today from approximately 1:10pm-3:30pm. There were 9 children ( 25 points) directly supervised by 2 caregivers. A sample of 5 children?s records, 2 caregiver's records and 3 household member's records were reviewed. The children were observed being picked up by parents and during nap time. One new caregiver has been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact

Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the first aid kit was incomplete. Evidence: The first aid kit was missing 1 of 2 required triangle bandages.

Plan of Correction: I will get it from the store this week.

Standard #: 22VAC40-111-800-A
Description: Based on interview with provider, the family day home did not have an emergency preparedness plan. Evidence: The family day home did not have an emergency preparedness plan. The Provider said she was working on it and misplaced the folder.

Plan of Correction: I will take a picture of it and send it to you once I find the folder.

Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles were not labeled with the child's full name and the date. Evidence: 1 bottle located in the refrigerator was not labeled with the child's full name and the date.

Plan of Correction: I asked the parent to put the date on, I will show them the complaint.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the assistants record was incomplete. Evidence: Assistant A was missing the following required information: 1) Job title 2) Employment date 3) Emergency contact 4) 3 references

Plan of Correction: I have it in a folder I will find the folder and put it in the folder.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were incomplete. Evidence: 2 of 5 children's records reviewed were missing required information. 1) Child A was missing the medical insurance policy number. 2) Child B was missing the phone number of 1 emergency contact and medical insurance policy number.

Plan of Correction: I will tell the parents to fix it today.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain a report of tuberculosis screening for each household member at least every two years. Evidence: 1) The tuberculosis screening of Household Member A was last conducted 01/31/2017. 2) The tuberculosis screening of Household Member B was last conducted 02/21/2017.

Plan of Correction: I will tell them to get a new test done tomorrow.

Standard #: 22VAC40-111-320-G
Description: Based on interview with provider, the wood burning fireplace was not inspected annually. Evidence: The wood burning fireplace located in the family room was not inspected annually. The Provider stated an inspection has not been done.

Plan of Correction: I will have an inspection done. I will call for an appointment today.

Standard #: 22VAC40-111-530-A
Description: Based on observation, cots used for sleeping children did not have sufficient linens. Evidence: 4 cots that children were sleeping on did not have a bottom cover.

Plan of Correction: Children play with blanket and they don't sleep but I will put it back.

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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