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Sandra Vergara
7707 Erie Street
Annandale, VA 22003
(703) 879-2919

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: May 4, 2016

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 Preventing the Spread of Disease
22VAC40-111 Emergencies
63.2 General Provisions.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted on May 4th 2016, between 8:45am and 10:15am. There were 12 children in the direct care of 3 providers. Children were observed being diapered, napping, finishing snack, and going for a walk. Violations were observed and are listed on the violation notice. A sampling of children's records, staffing records, background checks, household records, supervision, the physical space, and evacuation drills were observed and inspected. If you have any questions please contact me at 703-554-4995 or at derek.acosta@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on record review, the provider did not review the emergency preparedness plan at least annually. Evidence: The last documented review was September 20, 2014

Plan of Correction: We will be more careful with the Emergency Preparedness plan and will review it annually

Standard #: 22VAC40-111-830-C
Description: Based on record review and interview, the provider did not maintain documentation of all evacuation drills. Evidence: The provider stated to the inspector that an emergency evacuation drill was conducted for the month of April was but was not documented on the appropriate paperwork.

Plan of Correction: We will keep documented on the appropriate paperwork for the emergency evacuation drill.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 3 children's records did not contain the required documentation. Evidence: Child #1 record did not contain proof of identification within the first 7 days of the child's enrollment. The record also did not contain Medication Procedures nor the form "Information for Parents"

Plan of Correction: Already have the forms signed by the parents and will get proof of identity by 05/5/15

Standard #: 22VAC40-111-90-C
Description: Based on record review, 1 of 3 children record did not have an updated immunization documentation every 6 months for a child under 2 years of age. Evidence: Child #3, age 23 months, last had updated immunization documentation on August 21st 2015.

Plan of Correction: Will ask parents to provide the update immunization records

Standard #: 22VAC40-111-130
Description: Based on staff interview, an assistant that cares for the children does not meet the general qualifications of being able to speak, read, and write in English. Evidence: The inspector asked a question of the assistant and she then went and got another staff member to answer. The inspector mentioned this to a provider who stated that she cannot speak English. The inspector informed the provider that this is a requirement of being employed by a licensed provider.

Plan of Correction: Staff will begin English classes on 5/23/2016 and will practice at the day care on a daily basis

Standard #: 22VAC40-111-180-A
Description: Based on record review, 1 of 2 staff records did not a current Report of Tuberculosis Screening every two years from the date of first screening. Evidence: Staff #2 last had a Tuberculosis Screening on 11/6/2013.

Plan of Correction: Staff #2 will get the update of Tuberculosis screening as soon as possible

Standard #: 22VAC40-111-340-C
Description: Based on observation, the provider did not provide liquid soap in the day care rest room to be used. A bar of soap was on the counter.

Plan of Correction: We are providing liquid soap in the restroom since 05/04/16

Standard #: 22VAC40-111-540-B
Description: Based on observation, the provider used an infant walker. Evidence: A product called a 2 in 1 Walker was in use at the family day home. Because many injuries, some fatal, have been associated with the use of walkers, and because there is no clear developmental benefit from their use, the American Academy of Pediatrics has recommended that they not be used in family day homes.

Plan of Correction: Already put the walker away from the day care.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering pad was not in compliance with the standards. Evidence: The diapering pad has a 2 inch rip on the outer layer. This makes the diapering pad absorbent.

Plan of Correction: Already correct this violation on 05/06/16

Standard #: 22VAC40-191-40-D-1-b
Description: Based on interview and record review, an assistant does not have background checks on file. Evidence: Staff #3 does not have a completed Criminal Record Check, a Central Registry Check, or a Sworn Statement of Affirmation. Staff working with children on a day to day basis require these background checks.

Plan of Correction: We already began the process to obtain the criminal record and a central registry for Staff #3

Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review and interview, a person living in the home did not have the required background check. Evidence: Household member #1 turned 14 years of age December of 2015. The standards require that any household member must have a central registry check completed within 30 days of turning 14 years of age.

Plan of Correction: We will have the Central Registry Check for member #1

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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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