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Ghidiani Sanchez
12553 Cross Country Lane
Reston, VA 20191
(540) 422-5100

Current Inspector: Whitney McGrath (571) 835-4717

Inspection Date: March 22, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Comments:
Today an unannounced Monitoring inspection took place between 9:50am and 12:40pm. There were 10 children present with the provider and 1 assistant for a total of 29 points within the supervision guidelines. The children were observed playing freely, singing, dancing with bubbles and eating lunch (macaroni and cheese and apple slices). A complete inspection of the physical plant, children and staff records, fire drill log, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at whitney.mcgrath@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-880
Description: Based on observation, food provided by the family day home did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The USDA requires that each child receive a separate fruit and vegetable component. Today's lunch was macaroni and cheese and apple slices. The children were not offered a vegetable.

Plan of Correction: I will start serving a side vegetable.

Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles were not labeled with the children's full name and date. Evidence: Six out of six bottles in the refrigerator do not contain today's date. One out of six bottles does not contain a name.

Plan of Correction: I'll remind the parents.

Standard #: 22VAC40-111-50-A
Description: Based on interview and record review, the provider did not keep an accurate written record of children in attendance each day. Evidence: Upon the inspector's arrival, the inspector asked the provider how many children were in care that day. The provider stated that 9 children were present. During the inspection, the inspector counted 10 children in attendance. The provider's attendance for the day only listed 9 children in attendance. The last child to arrive was not documented on today's attendance.

Plan of Correction: My assistant checks every child in on the attendance. At 9:30 every morning we'll do a check of the attendance list.

Standard #: 22VAC40-111-170-A
Description: Based on interview, the provider did not obtain a current tuberculosis (TB) screening from each household member. Evidence: The provider stated that they do not have record of a TB screening for household member #3 and household member #4.

Plan of Correction: I'll talk to them about getting this done.

Standard #: 22VAC40-111-680-A
Description: Based on observation, caregivers did not wash their hands after diapering children. Evidence: Caregiver #2 was observed changing four diapers. The caregiver did not wash their hands after each diaper change.

Plan of Correction: I'll remind her.

Standard #: 22VAC40-111-680-B
Description: Based on observation, caregivers did not ensure that children's hands were washed after diapering. Evidence: Caregiver #2 was observed changing four diapers. Four out of four children's hands were not washed after diaper changes.

Plan of Correction: I'll remind her.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diaper changing surface was not cleaned and sanitized after each use. Evidence: Four children were observed having their diapers changed. The changing mat was not cleaned or sanitized after each use.

Plan of Correction: I'll remind her.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on interview, the provider did not obtain a sworn disclosure statement and central registry (CPS) results for each household member. Evidence: The provider stated that they have not obtained a sworn disclosure statement or central registry results for household member #3 and household member #4.

Plan of Correction: I'll talk to them.

Standard #: 63.2-1721.1-B-2
Description: Based on interview, the provider has not obtained fingerprint results for each household member. Evidence: The provider stated that household member #3 and household member #4 has not gone to get their finger printing completed.

Plan of Correction: I'll talk to them.

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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