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Clotilde Espinoza
4602 15th Street, N
Arlington, VA 22207
(703) 525-8862

Current Inspector: Tanya Johnson (571) 423-6392

Inspection Date: Jan. 11, 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
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
22VAC40-665 Special Care Provisions & Emergencies

Technical Assistance:
Discussed organization. Discussed mandatory training options

Comments:
A unannounced mandated inspection was completed today. The visit began at 2:15pm and ended at 5:20pm. There were 8 children present (32 points) with three caregivers. The children were observed napping, hand washing, during diaper changing, afternoon snack, singing, dancing and story time. The children interacted well with their caregivers and seemed very comfortable in their environment. There were violations cited. If you have any questions, please give me a call at 571. 423.6392 or email me at Tanya.Johnson1@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on a review of the first aid kit, the first aid kit was incomplete. Evidence: The first aid kit was missing a thermometer.

Plan of Correction: I will buy new thermometer.

Standard #: 22VAC40-111-770
Description: Based on observation, the provider did not have a working portable battery-operated weather band radio. Evidence: Batteries for the radio were not available; therefore the radio was inoperable.

Plan of Correction: I will be the batteries

Standard #: 22VAC40-111-830-A
Description: Based on interview with provider, evacuation procedures were not practiced monthly. Evidence: There was no documentation that evacuation procedures were practiced monthly January - December 2018.

Plan of Correction: I will use DSS template and practice fire drills each month.

Standard #: 22VAC40-111-830-B
Description: Based on interview with the provider, Shelter-in-place procedures have not been practiced two times per year. Evidence: There was no documentation of two shelter-in-place drills practiced during the 2018 calendar year.

Plan of Correction: I will use DSS template and practice shelter-in-place drill twice a year.

Standard #: 22VAC40-111-960-E
Description: Based on observation and the providers statement, a child's bottle was not refrigerated and was incompletely labeled. Evidence: Child's bottle was labeled with child's name only, but no date and bottle was on the kitchen table. Bottle was also more than room temperature, as provider explained that the mother of child requests that bottle be warmed at 3:30pm for a 4:30pm pick up.

Plan of Correction: I will label and refrigerate all bottles and will not warm bottles until parents arrive for pick up.

Standard #: 22VAC40-111-120-A
Description: Based on a record review, the provider did not maintain a record for each caregivers. Evidence: 2 of 2 staff files were incomplete. 1) Staff #1 and Staff #2 do not have employment start dates, emergency contact information or 2of2 employment references in their files. 2) Staff #2 does not have a current address in the file.

Plan of Correction: I will get the information and update their files.

Standard #: 22VAC40-111-60-A
Description: Based on record review, the provider did not maintain an up-to date record at the family day home for each enrolled child. Evidence: Child #1's file did not have the medical insurance policy number listd. Child #2's file did not have the father's work number, the second emergency contact information listed, the first date of child's attendance or proof of child' identification.

Plan of Correction: I will have parents provide.

Standard #: 22VAC40-111-200-A
Description: Based on record review, 2 of 2 staff files did not include documentation of orientation by the end of the first week of assuming job responsibilities. Evidence: Staff #1 and Staff #2 had no documentation of completed orientation in their employment files.

Plan of Correction: I will re-do orientation and place documentation in their files.

Standard #: 22VAC40-111-280
Description: Based on observation, poisonous substances, such as cleaning agents wee not stored in areas inaccessible to children. Evidence: Clorox wipes were observed on the counter in the kitchen in an area accessible to the children.

Plan of Correction: I will put them up high.

Standard #: 22VAC40-111-320-A
Description: Based on observation, small electrical appliances were not unplugged when not in use by the caregiver. Evidence: A toaster over was plugged in and not in use in the kitchen during the inspection.

Plan of Correction: I will unplug the toaster after use.

Standard #: 22VAC40-111-320-B
Description: Based on observation, child resistant protective covers were not installed o all unused electrical outlets accessible to children under five years of age. Evidence: One electrical outlet in the kitchen behind the high chair did not have a protective cover.

Plan of Correction: The protective cover was put on during the inspection.

Standard #: 22VAC40-111-520-A
Description: Based on observation, a crib was not provided for a child under 12 months of age. Evidence: An infant under the age of 12 months old was sleeping in a bassinet. Child #1 (2 months old)

Plan of Correction: I will send bassinet home with parent today.

Standard #: 22VAC40-111-520-C
Description: Based on observation, the crib mattress on 3 of 5 cribs did not fit snugly in the cribs. Evidence: 1) Crib #1 - main crib space - 1 inch space from side of crib. 2) Crib #2 - main crib space - 1.5 inch space from side of crib. 3) Crib #3 - main crib space - 1 inch space from side of crib.

Plan of Correction: I will buy new mattresses.

Standard #: 22VAC40-111-530-B
Description: Based on observation, cribs used by infants did not have tight fitting bottom cover. Evidence: Bottom linens on 4 of 6 cribs were not tight fitting and were secured with tape.

Plan of Correction: I sew, I will make new sheets for cribs.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diaper surface was not nonabsorbent. Evidence: The diaper pad was torn and therfore no longer nonabsorbent.

Plan of Correction: I will buy new one.

Standard #: 22VAC40-111-690-E
Description: Based on observation, the diaper disposal system was not a foot operated system that prevents caregivers' hands or soiled diapers from touching the exterior surface of the container. Evidence: The diaper disposal system did not prevent caregivers' hands or soiled diapers from touching the exterior surface of the container.

Plan of Correction: I will buy new can with pedal.

Standard #: 63.2-1721.1-B-2
Description: Based on record review, caregivers and household members do not have current criminal history record reports. Evidence: 1) Provider does not have fingerprints as required by 9/30/2018. 2) Staff #1 and Staff #2 do not have required fingerprints as of 9/30/2018/ 3) Household members #1 and #2 and #3 do not have fingerprints as required as of 9/30/2018.

Plan of Correction: I will call OBI and I will have my fingerprints done and my staff will have their fingerprints done and my household members will have their fingerprints done and I will send them to licensing as soon s they are back.

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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