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Creme de la Creme
16351 Navigation Drive
Woodbridge, VA 22191
(703) 580-8887

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Oct. 12, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies.
8VAC20-780 Special Services.

Technical Assistance:
Provided consultation on:

8VAC20-780-520 C3 Diaper creams should be inaccessible to children.
8VAC20-780-500-B3c Diapering pads must be non-absorbent so these need to be replaced when they tear.

An unannounced monitoring inspection was conducted on 10/12/22 at 10:00am to 12:15pm to investigate a self-reported incident regarding the care and protection of children in the infant rooms after a child was fed breast milk that belonged to another child. Interviews were conducted with 4 staff members. Attendance documentation, 2 child files, and 2 staff files were reviewed. All 3 infant classrooms were observed. An exit interview was conducted on 11/1/2022. If you have further questions regarding this investigation, please contact Angela Dudek at

Standard #: 8VAC20-780-340-A
Description: Based on interviews, the center did not ensure the care, protection and guidance of all children in care.

Evidence: On 10/7/22, Child #1 was fed Child #2?s bottle containing breast milk. Child #2 had been dropped off in Child #1?s classroom. Child #2 was then moved to their normal classroom when their teacher arrived for the day. Not long after the transition, Staff #1 began feeding Child #2. When it was time to feed Child #1 in the other classroom, Staff #2 noticed that Child #1?s bottles were missing and that Child #2?s bottles were left in the classroom. At that time, Staff #2 called the adjoining classroom to inform of the missing bottles and learned that Child #1, had just finished consuming the entire bottle of breast milk that belonged to Child #2. When interviewed, Staff #1 stated they didn?t read the label on the bottle before feeding it to Child #1.?

Plan of Correction: Retrain all team members regarding proper call and feeding procedures, ensure all bottles are checked before feeding.

Standard #: 8VAC20-780-500-B
Description: Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that is either foot-operated or used in such a way that neither the staff member?s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

Evidence: The foot-operated storage system for disposal of diapers was not able to be operated by foot causing the staff to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.

Plan of Correction: New trash can purchased at time of inspection.

Standard #: 8VAC20-780-530-A
Description: Based on documentation review and interview with staff, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification.

Evidence: The file for Staff #1 (Date of Hire 05/23/22) did not contain documentation for completion of first aid and cardiopulmonary resuscitation (CPR) certification. Staff #1 confirmed she is regularly staffed in the Infant C classroom as the only staff member.

Plan of Correction: Corrected immediately after inspection.

Standard #: 8VAC20-780-560-G
Description: Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner.

Evidence: In the Infant C classroom, Child #3 had brought food from home that was stored in the refrigerator and was not dated.

Plan of Correction: Ensure all food is labeled with the date. Corrected during inspection.

Standard #: 8VAC20-780-570-E
Description: Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child?s name.

Evidence: In the Infant A classroom, Child #4 had a bottle of infant formula that was stored in the refrigerator and was not dated.

Plan of Correction: Ensure all bottles are labeled with the date. Corrected during inspection.


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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