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Maria Araujo
3221 Hallran Road
Falls church, VA 22041
(703) 577-9119

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Feb. 15, 2019

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
22VAC40-191 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

Technical Assistance:
Discussed offering more opportunities for ages and stages of children, where to obtain training for staff, safe sleep best practices.

Comments:
An unannounced mandated Renewal inspection was conducted today. There were 10 children present (26 points) and 3 caregivers. Children were observed playing with puzzles, having snack (fresh fruit), dancing to music, and playing outside. Reviewed 4 staff files, 1 household member file, and 3 children's files. Reviewed attendance, menus, emergency preparedness supplies and log, physical plant and outdoor playground space. Violations of the Standards are recorded on the Violation Notice. Should you have any questions regarding this inspection, please contact Licensing Inspector, Georganne Buccine (georganne.buccine@dss.virginia.gov)

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on record review, written parent permission authorizing topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine, and insect repellent was not obtained prior to application. Evidence: Child #2 and Child #3 did not have written parental permission for topical skin products.

Plan of Correction: file were corrected. forms were sign by parents and put in each file

Standard #: 22VAC40-111-800-A
Description: Based on record review, the family day home does not have a written emergency preparedness and response plan including emergency evacuation, emergency relocation, and shelter-in-place procedures, which addresses the most likely to occur scenarios, including but not limited to fire, severe storms, flooding, tornadoes, and loss of utilities. Evidence: Provider's written emergency preparedness and response plan was incomplete and missing required information.

Plan of Correction: completed emergency preparedness and respond plan

Standard #: 22VAC40-111-920
Description: Based on interview and observation, menus are not being given to parents or posted or placed in an area accessible to parents. Evidence; Menus were not being used, posted or given to parents weekly.

Plan of Correction: menus are posted

Standard #: 22VAC40-111-960-B
Description: Based on observation, infants who cannot hold their own bottles were not being picked up and held for bottle feeding. Bottles were being propped. Evidence: Child#3 was observed in a high chair with their bottle propped on the elevated tray. Child#3 was observed falling asleep with the bottle in their mouth. This violation was corrected and discussed with the Provider during this inspection.

Plan of Correction: it was corrected

Standard #: 22VAC40-111-960-E
Description: Based on observation, bottles were not labeled with the child's full name and the date for multiple infants in care. Evidence: 6 bottles in the refrigerator used for child care did not contain labels with children's names and dates.

Plan of Correction: 3 bottles for water were labeled properly. 3 bottles for milk were labeled properly already.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical exam by a physician within 30 days of the child's first day. Evidence: Child #1, Child #2, and Child #3 did not have documentation of a physical exam.

Plan of Correction: Parents are in the progress to correct and give the documentation

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's files were incomplete. Evidence: 1. Child #1 and Child #3 were missing first dates of attendance.

Plan of Correction: files were corrected the same day and signed by parents

Standard #: 22VAC40-111-70-A
Description: Based on record review, parent's were not provided Policies for the administration of medications, whether there is liability insurance of the family child care home, or provisions of the emergency preparedness plan. Evidence: Child #1 was missing documentation of medication administration, liability insurance and emergency preparedness. Child #2 was missing medication administration and liability insurance. Child #3 was missing emergency preparedness.

Plan of Correction: file were corrected. Add medication administration forms, sign by parents. liability insurance sign by parents. preparedness missing page were file and sign by parent.

Standard #: 22VAC40-111-70-B
Description: Based on record review, provider did not obtain parent's written acknowledgement of receipt of information. Evidence: Child #1, Child #2 and Child #3 did not have documentation of the signed Information to Parents form.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation of a child's immunization record prior to the child's first day. Evidence: Child #2 did not have documentation of immunizations prior to their first day, 1/7/19.

Plan of Correction: files were corrected

Standard #: 22VAC40-111-170-A
Description: Based on record review, provider did not obtain current TB screening from an adult household member. Evidence: Household member #1 did not have documentation of a current TB screening.

Plan of Correction: file was corrected. TB screen was found and put it in

Standard #: 22VAC40-111-210-A
Description: Based on record review, caregivers did not obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: Provider was missing 8 hours of annual training; Staff#1 was missing 16 hours of annual training; and Staff#2 was missing 4 hours.

Plan of Correction: Provider found all annual certificates and working on staff annual training

Standard #: 63.2-1721.1-A
Description: Based on record review, an adult living the family day home and a staff member did not undergo a Central Registry Abuse and Neglect background check, or Sworn Statement Disclosure. Evidence; Household member #1 did not have documentation of a signed Sworn Statement Disclosure or a Central Registry Abuse and Neglect Clearance letter. Staff#3 did not have a Central Registry Clearance letter.

Plan of Correction: file corrected. Background check and sworn statement signed for Eduardo Neira. Yesenia is no longer a staff

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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