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Elsy N Arevalo Hernandez
11704 Fairfax Woods Way
Apt 20108
Fairfax, VA 22030
(571) 245-9345

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Nov. 8, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-790 SUBSIDY REGULATIONS

Technical Assistance:
Technical assistance: Children's records, annual trainings, use of play yards for infants.

Comments:
An annual subsidy inspection was conducted on 11/08/23 from 12:00 pm to 1:00 pm. There were 2 children (8 points) in care with the vendor. The inspector reviewed 2 children's records, the vendor's record and emergency drill records to ensure compliance with the health and safety regulations. There were no medications on site for children in care. There was one new play yard on site and was checked for compliance.
Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.
If you have any questions regarding this inspection, please contact Mahrukh Aziz at 571-835-4718 or mahrukh.aziz@doe.virginia.gov

Violations:
Standard #: 8VAC20-790-180-B
Description: Based on staff 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: The vendor stated that she did not have written attendance for the current week. The vendor stated that she had recorded attendance in the prior weeks, but she could not remember where she had stored the records.

Plan of Correction: Attendance will be recorded daily.

Standard #: 8VAC20-790-190-A
Description: Based on staff interview, the vendor did not maintain a written or electronic record for each enrolled child.
Evidence:
1. The vendor stated that Child # 1's first day of attendance was 11/8/23.
2. The vendor stated that Child # 1 was attending on a trial basis, and the vendor did not have a written or electronic record for the child.

Plan of Correction: Attendance will be recorded and maintained.

Standard #: 8VAC20-790-230-A
Description: Based on records review, the vendor did not obtain documentation that the child has been immunized prior to the first day of attendance.
Evidence:
1. Child # 1's first day of attendance was 11/8/23.
2. Child # 2's first day of attendance was 7/3/23.
3. The vendor did not obtain immunization records for both to this date.

Plan of Correction: Immunization records will be obtained.

Standard #: 8VAC20-790-270-A
Description: Based on observation, cleaning agents were not stored away from food in areas inaccessible to children.
Evidence: A bottle of a cleaning solution was found sitting on the kitchen counter where other food items were present.

Plan of Correction: Chemicals will be stored away from food and out of reach.

Standard #: 8VAC20-790-430-A-2
Description: Based on staff interview, the vendor did not practice shelter in place twice a year.
Evidence: The vendor stated that she had not completed any shelter in place drills.

Plan of Correction: Drills will be completed and documented.

Standard #: 8VAC20-790-450-E
Description: Based on observation and staff interview, prepared infant formula shall be refrigerated, dated, and labeled with the child's name if more than one infant is in care.
Evidence:
1. There were 4 bottles for Child # 1 and Child # 2 that had been used.
2. The vendor stated that Child # 1 and Child # 2 both drank formula.
3. None of the bottles were dated and labeled with the child's name.

Plan of Correction: Bottles will be labeled and dated when more than 1 infant is present.

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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