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Sandra Machado
7806 Lake Pleasant Drive
Springfield, VA 22153
(703) 372-5269

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: Sept. 18, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Comments:
A Subsidy Health and Safety Inspection was conducted on 7/14/2022 from 12:05pm-1:15pm. There were 4 children (10 points) directly supervised by the vendor/provider. During the inspection the home, interactions with children, emergency supplies, procedures and drills were
inspected. Cleaning and sanitation routines, hand washing and diaper changing routines were also discussed. A sample of child records, provider information and household member information was reviewed. Information gathered determined violations with applicable code or requirements and are listed on the Violation Notice. If you have any questions, please contact me at shahana.green@doe.virginia.gov.

Violations:
Standard #: 8VAC20-790-180-B
Description: Based on a review of records and vendor interview, the vendor did not maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.
Evidence:
1. There was no documentation of attendance being taken for the months of July, August, and September (through September 18th) 2023.
2. The Vendor confirmed that attendance was not taken for the months of July, August and September (through September 18th) for 2023.

Plan of Correction: I will start taking attendance again tomorrow.

Standard #: 8VAC20-790-190-B
Description: Based on a review of children's information, 1 out of 4 children did not have the required
child's information included.
Evidence:
1. Child #2 did not have any child information on file at the time of the inspection. The
required forms were missing;
-Emergency Contact Information Form
-Authorization for Emergency Medical
Treatment
-Parent Notification of Sick Policy (also
includes medication admin statement )

Plan of Correction: I will ask the parents to fill out all the papers. I have it ready.

Standard #: 8VAC20-790-230-A
Description: Based on a review of child information, the vendor did not obtain documentation that the
child has been immunized according to the requirements of subsection A of ? 32.1-46 of the Code of Virginia and applicable State Board of Health regulations for 1 out of 4 children.
Evidence:
1. Child #4 did not have documentation that the child has been immunized on file at the time of the inspection.

Plan of Correction: I will ask the parents to bring a copy of the immunizations.

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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