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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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Clotilde Espinoza
4602 15th Street, N
Arlington, VA 22207
(703) 525-8862

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: April 24, 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 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
22VAC40-665 General qualifications

Technical Assistance:
Relating to better organization of paperwork.

Comments:
An unannounced monitoring inspection was conducted today between 12:15pm and 2:45 pm. There were 6 children (21 points) with three caregivers. The physical plant completely inspected. The children were observed eating lunch, lunch consisted of spinach pasta, fruit, milk and water. Hand washing and diapering was also observed. Staff/children's records, emergency supplies, attendance records, menu's and evacuation drills were reviewed. There was no medication on site. Areas of non-compliance were cited on the Violation Notice. If you have any questions, please contact me at Tanya.Johnson1@dss.virginia.gov or 571.423.6392.

Violations:
Standard #: 22VAC40-111-120-A
Description: Based on review of staff records, the provider failed to ensure that staff records were maintained and up to date. Evidence: 1) Staff #2's file did not have documentation of an employment date, emergency contacts . 2) Staff #3's file did not have documentation of an employment date or emergency contacts.

Plan of Correction: Will add information to file.

Standard #: 22VAC40-111-60-A
Description: Based on review of children's records, the provider failed to ensure that up to date records are maintained for each child enrolled. Evidence: 1) Child #1's file does not have documentation of a medical insurance policy number. 2) Child #2's file does not have documentation of an address for the second emergency contact. 3) Child #3's file does not have documentation of an address for the first emergency contact, a signed liability insurance form, proof of immunizations on the first day of attendance or proof of a physical by the 30th day of attendance. 4) Child #5's file does not have documentation of a medical insurance policy number or proof of immunization on the first day of attendance or of a physical by the 30th day of attendance.

Plan of Correction: I will get from parents and put in file.

Standard #: 22VAC40-111-170-A
Description: Based on review of staff records, the provider did not obtain an updated tuberculosis test or screenings for staff every two years. Evidence: Staff #3 does not have documentation of current tuberculosis test or screening in employee file.

Plan of Correction: Will see that staff gets form from dr.

Standard #: 22VAC40-111-540-A
Description: Based on observation, the provider did not ensure that high chairs will be used according to the manufacturer's instructions and when occupied by a child, a safety strap will be used and securely fastened. Evidence: Three children were observed eating lunch in high chairs with the straps buckled.

Plan of Correction: We will buckle the children when seating in high chairs.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on household member record review, the provider did not ensure that all household member submitted to a Child Protective Registry search. Evidence: Household member #3 does not have documentation of a Child Protection Registry seach.

Plan of Correction: Waiting for form to come back.

Standard #: 22VAC40-191-60-C-2
Description: Based on staff records review, the provider did not obtain a Central Registry record report for staff member within 30 days of employment. Evidence: Staff #3's file does not have any documentation of a central registry record report.

Plan of Correction: Waiting for the form to come back.

Standard #: 22VAC40-665-230-D
Description: Based on staff record review, the provider failed to ensure that orientation training will be completed prior to the caregiver working alone with children and within seven days of the date of employment. Evidence: Staff #2 and #3's files did not have documentation of orientation training.

Plan of Correction: I have done orientation, but did not document it. I will get the form off line and document and put in employee files.

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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