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Maria Sanchez-Cerro
42967 Sundance Square
Ashburn, VA 20148
(703) 380-6524

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Oct. 24, 2017

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.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
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 initiated today at 11:30am. The physical plant, 3 caregiver/household member files, 5 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected today. There were 9 children, totaling 22 points, under the supervision of 2 caregivers. During the inspection, children were observed painting, cleaning up for and eating lunch, enjoying free play and resting at nap time. The interactions between the children and caregivers were seen to be positive and constructive in nature. Today, the children were served beans, rice, tomatoes, cucumber and milk. The Provider is certified in MAT (medication administration training). Due to the number of Violations cited and the risks associated with them, the LI will return in 4-8 weeks to check on the status of the corrections. At that time, the LI will determine if the FDH should be placed on a 6 month Provisional license. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on observations, the Provider did not follow all general requirements for medication administration. Evidence 1. Child #7 requires an epi-pen due to a food allergy. There was no written authorization from the parent or physician.

Plan of Correction: The Provider will ask the parent to get this completed.

Standard #: 22VAC40-111-710
Description: Based on observations, the Provider did not follow all guidelines for prescription medications. Evidence 1. Child #7 requires an epi-pen due to a food allergy. The epi-pen was not kept in the original, labeled container. It was in the plastic tube with the child's name written on the end.

Plan of Correction: The Provider will ask the parent for the original container.

Standard #: 22VAC40-111-830-A
Description: Based on file review, emergency evacuation procedures were not practiced monthly. Evidence 1. There is no documentation of a drill having been completed in September 2017.

Plan of Correction: This will be done each month.

Standard #: 22VAC40-111-920
Description: Based on observations, the posted menu did not reflect what was served to the children in care. Evidence 1. The posted menu had "macaroni and cheese, carrots, corn and milk" listed for lunch today. The children were observed eating rice with beans, cucumber, tomatoes and milk.

Plan of Correction: The Provider will make changes to the menu when needed.

Standard #: 22VAC40-111-960-E
Description: Based on observations, there were 2 infant bottles on a shelf near the stairway without the child's full name and date labeled on them.

Plan of Correction: The bottles will be labeled.

Standard #: 22VAC40-111-100-A
Description: Based on file review, 4 out of 5 children do not have documentation of a physical examination. Evidence 1. Children #2-5 do not have physicals on file.

Plan of Correction: The Provider will ask the parents for this.

Standard #: 22VAC40-111-120-B
Description: Based on file review, 1 out of 3 caregiver's records do not have all required information on file. Evidence 1. Caregiver #2 does not have documentation that two or more references as to character and reputation as well as competency were checked before employment. The Provider has contacted two references, but did not document the findings.

Plan of Correction: The Provider will complete this.

Standard #: 22VAC40-111-50-A
Description: Based on interview, the Provider does not have a record for all children in care. Evidence 1. Child #8 does not have a record.

Plan of Correction: The mother said she is on her way to the FDH with all of the paperwork.

Standard #: 22VAC40-111-90-C
Description: Based on file review, 1 out of 5 children's records do not have documentation of additional immunizations once every six months up to the age of 2 years. Evidence 1. Child #3 is 15 months old. The most recent immunization was completed when the child was 7 months old.

Plan of Correction: The Provider will ask the parent for this.

Standard #: 22VAC40-111-140-B-3
Description: Based on file review and interview, the Provider is not currently certified in CPR. Evidence 1. The Provider's certification expired on 8/15/17.

Plan of Correction: The Provider will look for a class to attend to get recertified.

Standard #: 22VAC40-111-140-B-4
Description: Based on file review and interview, the Provider is not currently certified in CPR. Evidence 1. The Provider's certification expired on 8/15/17.

Plan of Correction: The Provider will look for a class to attend to get recertified.

Standard #: 22VAC40-111-250-E
Description: Based on observations, there were balloons in accessible to children under five years of age. Evidence 1. Under the stairs is a nook where children can play. There were 3 balloons in this area.

Plan of Correction: These will be moved upstairs where the Provider's son (only) can play with them.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on file review, 1 out of 3 caregiver/household member records does not have a search of the central registry (SCR) or criminal history record check (CRC) completed before 30 days of employment at the facility ends. Evidence 1. Caregiver #2 began working at the FDH on 8/9/17. There is no documentation of a SCR or CRC on file.

Plan of Correction: The Provider stated that she sent these off, but have not received them back. However, there is no documentation to support this. Caregiver #2 will not work with the children until these have been completed.

Standard #: 22VAC40-80-120-E-2
Description: Based on observations, the findings of the most recent inspection of the facility were not posted. Evidence 1. The posted Violation Notice was from 2/2/16. Two inspections have been conducted since this was completed.

Plan of Correction: Today's Violation Notice will be posted.

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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