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Myriam Isaza
1834 Gilson Street
Falls church, VA 22043
(703) 627-1187

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Nov. 5, 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
22VAC40-80 THE LICENSE.

Technical Assistance:
Reviewed requirements for renewal applications and discussed missing documentation from current renewal application.

Comments:
An unannounced renewal inspection was conducted today between the hours of 10:40 am through 2:15pm with the provider on site. There were 10 children (29 points) with the provider and two assistants. A sample of 5 children's files and 4 caregiver/household member's files were reviewed. The children were engaged in the following: toy play, completing puzzles, and participating in color recognition with the provider. Lunch and naptime were also observed. The children were served lentils, rice, carrots, celery, banana, and milk for lunch today. 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 jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review with the parents the emergency contact information required to ensure the information is correct and obtain the parent's signed acknowledgment of the review.

Evidence:
1. The first date of attendance for Child #1 is 4/30/2018. There is no documentation of a review of Child #1's emergency contact information.
2. The first date of attendance for Child #4 is 1/16/2018. There is no documentation of a review of Child #4's emergency contact information.

Plan of Correction: I will review with the parents.

Standard #: 22VAC40-111-800-B
Description: Based on record review and interview, the provider did not review the emergency plan at least annually and update the plan as needed, documenting in writing each review and update to the emergency plan.

Evidence:
The most recent review of the emergency preparedness plan was dated 10/26/18. Provider stated the emergency preparedness plan had not been reviewed since that date.

Plan of Correction: I will review the plan.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination within 30 days after one child's first day of attendance.

Evidence:
The record for Child #3 (first date of attendance 9/23/19) did not contain documentation of a physical examination.

Plan of Correction: I will ask the parent for the physical.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 3 of 5 children's records did not contain all required information.

Evidence:
1. The record for Child #2 and Child #3 did not contain the telephone number of the mother's place of employment.
2. The record for Child #3 did not contain documentation of the address of the father's place of employment.
3. The records for Child #3 and Child #5 did not contain documentation of names of persons other than the custodial parents who are authorized to pick up the child.
4. The records for Child #3 and Child #5 did not contain the policy number of the child's medical insurance.

Plan of Correction: I will get the information from the parents.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence:
1. Child #1 is under the age of two. The most recent documentation of additional immunizations in the record for Child #1 was dated 2/07/19.

Plan of Correction: I will ask the parent today for the updated immunization.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain documentation of an initial tuberculosis screening for 1 household member.

Evidence:
Provider reported household member #1 has been living in the family day home for approximately one year. The record for household member #1 did not contain documentation of an initial tuberculosis screening.

Plan of Correction: I will have her get a tb test.

Standard #: 22VAC40-111-180-A
Description: Based on record review, the provider did not obtain a current report of tuberculosis screening every two years from the date of the first screening for one caregiver.

Evidence:
The most recent tuberculosis screening available for review in the record for Caregiver #1 was dated 5/11/2017.

Plan of Correction: I will ask the doctor about documentation for tb test from August or have them get another one.

Standard #: 22VAC40-111-230-A
Description: Based on record review and interview, the provider did not maintain written documentation of one caregiver's orientation and annual training.

Evidence:
Provider stated Caregiver #1 is an assistant in the family day home. There is no documentation of orientation training or annual training in the record for Caregiver #1.

Plan of Correction: I will register them for trainings and complete an orientation paper for the file.

Standard #: 22VAC40-111-280
Description: Based on observation potentially poisonous substances such as cleaning agents, were not stored in areas inaccessible to children.

Evidence:
Cleaning supplies were observed on top of a cabinet located in the bathroom, accessible to children.

Plan of Correction: Corrected during inspection.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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