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Ruth Moscoso
723 N. Sterling Blvd.
Sterling, VA 20164
(703) 450-7545

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Jan. 16, 2018

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
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
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.

Technical Assistance:
Discussed proof of birth for children.

Today an unannounced Renewal inspection was conducted between 9:350am and 12:00pm. There were 12 children present with the provider and 1 assistant for a total of 32 points within the supervision guidelines. The children were observed sitting for circle time, working on their letters, coloring and having free play. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at

Standard #: 22VAC40-111-800-B
Description: Based on record review and interview, the provider has not reviewed the emergency preparedness plan annually as required. Evidence: There is no documentation of an annual update for the providers emergency plan since it's inception on 7/22/2010. The provider has confirmed that she did not know that she needed to review the plan.

Plan of Correction: We will correct this today.

Standard #: 22VAC40-111-920
Description: Based on observation and interview, the provider did not have a menu posted. Evidence: When asked about the location of the food menu, the provider stated that she was currently working on it.

Plan of Correction: A current menu was provided at the end of the inspection.

Standard #: 22VAC40-111-960-E
Description: Based on observation, infant's bottles were not labeled with the child's full name and date. Evidence: There were two bottles in the refrigerator that were not labeled with a name or date.

Plan of Correction: We have stickers to use. I will use them.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records did not contain all required information. Evidence: Child #1 file did not contain a second emergency contact or parents acknowledgement of emergency medical care. Child #2 file did not contact a phone number for their first emergency contact or parents acknowledgement of emergency medical care. Child #3 file did not contain the families medical insurance policy number. Child #4 file did not contain the street address for their second emergency contact.

Plan of Correction: I will ask the parents for this information.

Standard #: 22VAC40-111-180-A
Description: Based on record review, one household member did not obtain a Tuberculosis (TB) screening every two years as required. Evidence: Household member #3 most recent TB screening is dated 7/20/2015.

Plan of Correction: I think she has already done this. I will ask for a copy.

Standard #: 22VAC40-111-680-B
Description: Based on observation, children's hands were not washed with soap and water as required. Evidence: One child was observed having their diaper changed. The child's hands were not washed after their diaper change.

Plan of Correction: We will make sure the children get their hands washed.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, one household member has not completed a Sworn Disclosure Statement as required. Evidence: Household member #4 does not have a Sworn Disclosure Statement on record.

Plan of Correction: I will get it today when they get back from work.


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. To find programs participating in Virginia Quality, click here.

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