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Fabiola Nina Gutierrez
706 N. George Mason Drive
Arlington, VA 22203
(571) 259-2133

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Sept. 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 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

Technical Assistance:
Discussed with the provider that the Assistant must be able to speak, read and write in English.

Comments:
An unannounced renewal inspection was conducted today between the hours of 9:05am through 10:35am with the provider on site. There were 5 children (19 points) with the provider and assistant. A sample of 5 children's files and 5 staff/household member's files were reviewed. The children were engaged in the following: toy play, listening to music, dancing and snack time. Interactions between the children and caregivers were positive. The physical space, emergency supplies, evacuation drills, attendance records and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on review of records, the provider did not maintain complete assistants' records.
Evidence:
1. Assistant #1's record was missing the address, emergency contact name, address and phone number and 2 references.

Plan of Correction: I will get the information for my assistant and will call for the references.

Standard #: 22VAC40-111-60-B
Description: Based on review of five children records, the provider did not maintain complete children's records.
Evidence:
1. Child #5's record was missing one parent's work address and phone number.

Plan of Correction: I sent a text to the parent requesting the information during the inspection.

Standard #: 22VAC40-111-80-A
Description: Based on review of five children records, the provider did not receive proof of age within 7 days of the child's first day of attendance.
Evidence:
1. Child #5 began with the provider on 8/16/2019 and did not have record of verifying the child's identity and age.

Plan of Correction: I sent a text to the parent during the inspection and requested to see it.

Standard #: 63.2-1720.1-B-2
Description: Based on review, the provider hired an assistant prior to receiving the fingerprint results.
Evidence:
1. Assistant #1 began with the provider on 8/13/2019 and received the fingerprint results on 8/19/2019.

Plan of Correction: I will not hire anyone in the future without the fingerprint 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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