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Miriam Ayala
104 S. Iris Street
Alexandria, VA 22304
(703) 370-0252

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Feb. 6, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

Technical Assistance:
***Reminded provider to submit a renewal application by mail to the licensing office. Applications are due no less than 30 days prior to expiration.

Comments:
An unannounced renewal inspection was conducted today from 10:30am-12:30pm. There were 6 children (19 points) directly supervised by 2 staff. The home, 4 staff records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and eating lunch consisting of spaghetti with chicken and tomato sauce, yogurt and milk. Diapering procedures were also observed. There was an abundant supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation, posted menu's did not list substituted food. Evidence: The lunch being consumed by children during the inspection consisted of: spaghetti with chicken and tomato sauce, and yogurt. The posted menu listed lunch as: eggs, tomatoes, peppers, rice, melon and fruit.

Plan of Correction: Substitutions will be constantly updated. USDA inspection visits have approved all menu variations.

Standard #: 22VAC40-111-120-B
Description: Based on record review, 3 of 4 staff records reviewed are incomplete. Evidence: 1. Staff 1's record does not contain: the staff member's address, proof of age, job title, date of employment, the name address and phone number of a person to contact in an emergency, two references, background checks as required by 22VAC-40-111-130. 2. Staff 2's record does not contain: the staff member's address, proof of age, job title, date of employment, the name address and phone number of a person to contact in an emergency, two references, background checks as required by 22VAC-40-111-130. 3. Staff 3's record does not contain: the name address and phone number of a person to contact in an emergency.

Plan of Correction: Staff 1 no longer works here. Staff 2 no longer works here. Staff 3 has been notified of providing emergency contact.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 5 of 5 children's record reviewed were incomplete. Evidence: 1. Child 1's record did not contain an address for the child's physician, the child's health insurance policy number, or written authorization for emergency medical care. 2. Child 2's record did not contain: a physical examination report, health insurance and policy number or written authorization for emergency medical care. 3. Child 3's record did not contain: documentation that documents that verify proof of the child's age, identity and name were reviewed. 4. Child 4's record did not contain: the address of one of the two required emergency contacts, or documentation that documents that verify proof of the child's age, identity and name were reviewed. 5. Child 5's record did not contain: the address of one of the two required emergency contacts, or documentation that documents that verify proof of the child's age, identity and name were reviewed.

Plan of Correction: 1. Child's parents has been contacted to provide information required for: Child 1, 2, 4, 5. Child #3 will no longer assist to my home daycare [sic].

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas of the family day home were not maintained in a clean, safe and operable manner. Evidence: 1. Two women's razors were observed in the medicine cabinet above the sink in the bathroom used by children. 2. A can of solvent cleaner was observed in the medicine cabinet above the sink in the bathroom used by children. 3. The paint on the cabinet below the sink in the bathroom used by children is flaking and peeling. The peeling is to an extent that there is water damage to the wood beneath the paint and the wood has expanded to the point where it may harbor bacteria and cannot be properly sanitized.

Plan of Correction: 1. Razors have been removed. 2. Cleaner was removed permanently. 3. Cabinet has already been repaired and painted.

Standard #: 22VAC40-111-320-B
Description: Based on observation, child resistant protective covers larger than 1-1/4 inches in diameter were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: An unprotected outlet was observed in the upstairs childcare area.

Plan of Correction: All outlets have protective covers which are checked frequently.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the bathroom did not contain all required supplies. Evidence: The bathroom did not contain liquid soap.

Plan of Correction: I have purchased and put available liquid soap.

Standard #: 22VAC40-111-530-B
Description: Based on observation, not all cribs used by infants had a tight-fitting bottom cover. Evidence: One of the cribs in the family day home was observed with a very loose fitting sheet.

Plan of Correction: Fitted sheets for all cribs will be checked and replaced if necessary.

Standard #: 22VAC40-111-530-F
Description: Based on observation, soft bedding was used under and around infants. Evidence: A filled and puffy sleep sack to include a filled pillow was observed in one of the cribs assigned to an infant attending the family day home.

Plan of Correction: All soft bedding items have been removed.

Standard #: 22VAC40-191-60-B
Description: Based on record review, a staff member was employed and allowed to provide service in the family day home without the person's completed sworn statement or affirmation. Evidence: Staff 2's record did not contain a sworn disclosure statement.

Plan of Correction: Staff 2 will no longer work here.

Standard #: 63.2-1720.1-B-2
Description: Based on record review, hired staff did not have national criminal history checks prior to the first day of employment or service. Evidence: Staff 1 and 2's record do not contain criminal record checks.

Plan of Correction: Staff 1 is a former kitchen employee that has not worked here since last year. Staff 2 also fired.

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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