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Aracelly Treminio
3232 South 13th Street
Arlington, VA 22204
(703) 401-0952

Current Inspector: Pamela Sneed (703) 479-4704

Inspection Date: Nov. 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced monitoring inspection was conducted today from approximately 9am-11:15am. There were 5 children (18 points) in the direct care and supervision of 2 caregivers. A sample of 3 children?s records, 2 caregiver's records and one household member's record was reviewed. The children were observed during diapering procedures, napping, eating, and playing. One new caregiver has been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-770
Description: Based on interview with provider, a working battery operated radio was not kept available to caregivers at all times. Evidence: There was not radio available at the time of the visit. The Provider stated that she does not have one.

Plan of Correction: I have ordered it, it is on the way here.

Standard #: 22VAC40-111-780-B
Description: Based on observation, the provider did not review the files of each child annually. Evidence: Child C's file was last reviewed 08/30/2017.

Plan of Correction: Parents will update the files.

Standard #: 22VAC40-111-800-B
Description: Based on observation, the emergency plan was not reviewed annually. Evidence: The emergency plan was last reviewed 09/18/2017.

Plan of Correction: I will update the plan on the 20th.

Standard #: 22VAC40-111-120-A
Description: Based on interview with provider, the provider did not maintain a record for each caregiver. Evidence: Caregiver A did not have a record on file. The Provider stated that she does not have a record because she is friend that has come to help today. The following required contents were missing: 1. Name; 2. Address; 3. Verification of age; 4. Job title; 5. Date of employment or volunteering; 6. Name address and telephone number of a person to be notified in an emergency; 7. Two or more references; 8. Background checks; 9. Documentation of tuberculosis screening; 10. Documentation of the education and training.

Plan of Correction: She was only helping for one day and she will never come again. She works fulltime.

Standard #: 22VAC40-111-30-A
Description: Based on observation, the provider did not ensure compliance with the terms of the license issued by the department. Evidence: The Provider is licensed to care for children 3 months -5 years old. Child B was enrolled in care 10/29/2018 at which time he was 2 months old.

Plan of Correction: I will send you a license modification request.

Standard #: 22VAC40-111-60-B
Description: Based on records reviewed, children's records were incomplete. Evidence: 2 of 5 children's records reviewed were missing required information. 1) Child A was missing provisions of emergency preparedness and liability insurance forms. 2) Child B was missing provisions of emergency preparedness form.

Plan of Correction: parents will complete the files today.

Standard #: 22VAC40-111-140-B-3
Description: Based on record review, the CPR certification for the Provider was not current. Evidence: The CPR certification for the Provider expired 08/27/2018.

Plan of Correction: Trainer is coming on Sunday.

Standard #: 22VAC40-111-140-B-4
Description: Based on record review, the first aid certification for the Provider was not current. Evidence: The first aid certification for the Provider expired 08/27/2018.

Plan of Correction: Trainer is coming on Sunday.

Standard #: 22VAC40-111-170-A
Description: Based on interview with provider, the provider did not obtain tuberculosis screenings from each caregiver. Evidence: Caregiver A did not have a tuberculosis exam or screening on file. The Provider stated that she does not have a file.

Plan of Correction: She was only helping for one day and she will never come again. She works fulltime.

Standard #: 22VAC40-111-280
Description: Based on observation, cleaning agents were not kept inaccessible to children. Evidence: Cleaning agents were located on a shelf next to the entrance of the home. The shelf was approximately 3 feet tall.

Plan of Correction: I will remove it. It is only there for the parents.

Standard #: 22VAC40-111-320-A
Description: Based on observation, small electrical appliances were not kept unplugged. Evidence: A toaster oven and a small grill were plugged in the kitchen. These items were not in use.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-320-B
Description: Based on observation, protective covers were not installed on all unused electrical outlets. Evidence: An unused electrical outlet near the cots in the bedroom was not covered with a protective cover.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-590-A
Description: Based on observation and interview with provider, infants were not placed on their backs when sleeping. Evidence: Child B (2 months old), was placed on his stomach to sleep. When asked who put the baby down, the Provider stated I did.

Plan of Correction: I was following the mothers instructions, but I will place the baby their back.

Standard #: 22VAC40-111-600-B
Description: Based on observation, toddlers spent over 30 minutes of consecutive time during waking hours confined in a high chair. Evidence: Children A, C, and D were confined in a a chair from 9:55am to 10:43am.

Plan of Correction: I was about to put them down after a while I asked the assistant to take them down and put them in the other room. They were supposed to be out during that time but it was muddy. It was not what we normally do.

Standard #: 22VAC40-191-60-B
Description: Based on interview with provider, an employee or volunteer of the family day home had not completed a sworn statement of affirmation. Evidence: Caregiver A, did not have a sworn statement of affirmation on file. The Provider stated that she does not have a file.

Plan of Correction: She was only helping for one day and she will never come again. She works fulltime.

Standard #: 22VAC40-191-60-C-2
Description: Based on interview with provider, an employee or volunteer of the family day home had not completed a Central Registry Search. Evidence: Caregiver A, did not have a complete Central Registry Search on file. The Provider stated that she does not have a file.

Plan of Correction: She was only helping for one day and she will never come again. She works fulltime.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the most recent inspection was not posted. Evidence: The inspection notice posted occurred 08/2017. The most recent inspection occurred 12/2017.

Plan of Correction: I will post the one from today's visit.

Standard #: 63.2-1720.1-B-2
Description: Based on interview with provider, an employee or volunteer of the family day home had not submitted to the fingerprinting process. Evidence: Caregiver A, did not have complete fingerprinting results on file. The Provider stated that she does not have a file.

Plan of Correction: She was only helping for one day and she will never come again. She works fulltime.

Standard #: 63.2-1721.1-B-2
Description: Based on record review and interview with provider, people required to submit to fingerprinting had not gotten fingerprinted. Evidence: The Provider and Household Member A did not submit to the fingerprinting process. The provider stated that they have not gotten fingerprinted.

Plan of Correction: We have appointments for Saturday.

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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