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Maria Torrico
4008 Braddock Rd
Alexandria, VA 22312
(703) 354-1572

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Aug. 27, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed the S hooks on the playground. Discussed the non-prescription topical skin product forms. Discussed the requirement for Assistants to speak, read and write in English.

Comments:
An unannounced monitoring inspection was conducted today between the hours of 9:45am through 1:30pm with the provider on site. There were 5 children (18 points) with the provider and one assistant. A sample of 5 children's records and 2 staff files were reviewed. The children were engaged in the following: toy play, outside time, center activities, lunch and nap time. Interactions between the children and caregivers were positive. The physical space, emergency supplies and evacuation drills were reviewed. Areas of non-compliance were identified in a the violation notice. Please contact me if you have any questions at Eureka.Nance@dss.virginia.gov or 703-638-5968.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the first aid kit did not contain the minimum requirements. Evidence: 1. The provider had a first aid kit, but was missing the first aid instruction manual.

Plan of Correction: I will get one.

Standard #: 22VAC40-111-800-A
Description: Based on interview, the provider did not have a written emergency preparedness and response plan. Evidence: 1. The provider had a blank copy of the emergency preparedness and response plan and stated she had not completed it.

Plan of Correction: I will work on writing one.

Standard #: 22VAC40-111-880
Description: Based on review of the menu and interview with the provider, the family day homes did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The provider stated the menu did not have two fruits/vegetables on the Monday and Tuesdays lunch menu. 2. The Monday menu listed peanut butter, whole wheat, bread, kidney beans and whole milk and did not meet the nutritional requirements. 2. The Tuesday menu listed chicken, tortilla, broccoli and whole milk and did not meet the nutritional requirements.

Plan of Correction: I will make sure to follow the nutritional requirements.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provide did not obtain documentation of physical examination prior to a child's attendance or within 30 days after the first day of attendance: Evidence: 1. Child #2 (start date 6/03/2019) was missing the child's physical.

Plan of Correction: I asked for the child's physical during the inspection.

Standard #: 22VAC40-111-50-C
Description: Based on observation, information in a child's record was not kept confidential. Evidence: 1. The supplemental page dated 4/08/2019 was posted on the parent bulletin board and was not kept confidential.

Plan of Correction: I will make sure it doesn't get posted in the future.

Standard #: 22VAC40-111-60-B
Description: Based on review, three out of five children's records were not complete. Evidence: 1. Child #2 (start date 6/03/2019) was missing an immunization record, results of the health exam and authorization of emergency care. 3. Child #4 (start date 2/14/2018) was missing an updated immunization record. 4. Child #5 (start date 8/10/2018) was missing documentation of the review of the child's emergency contact information. It was due 8/10/2019, proof of identity and updated immunization record.

Plan of Correction: The information was requested from the parents during the inspection.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation that the child had been adequately immunized before attending the family day home. Evidence: 1. Child #2 (start date 6/03/2019) was missing the child's immunization record.

Plan of Correction: I asked the parent for the record during the inspection.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the family day home did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #4 (start date 2/14/2018) was missing an updated immunization record. The immunization record was dated 8/18/2018. 2. Child #5 (start date 8/10/2018) was missing an updated immunization record. The immunization record was dated 5/15/2018.

Plan of Correction: I asked the parents for the information during the inspection.

Standard #: 22VAC40-111-240-A
Description: Based on observation, areas and furnishings of the family day home inside and outside were not maintained in a safe and operable condition. Evidence: 1. A chair in the play area of the family day home had fabric peeling and cracking along with a hole on the arm of the chair. 2. A tricycle in the yard had a missing foot pedal. 3. A green car had a bent wheel preventing the car to move.

Plan of Correction: I will replace the chair, and threw the tricycle and green car in the trash during the inspection.

Standard #: 22VAC40-111-320-I
Description: Based on interview, the provider did not have a fire extinguisher or smoke detector as required. Evidence: 1. The provider stated she did not know she needed a fire extinguisher and the smoke detector needed a new battery.

Plan of Correction: I will take care of that today.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface did not meet the requirement of being nonabsorbent and washable. Evidence: 1. The diaper changing pad in the children's play area had three small rips in the fabric.

Plan of Correction: I will replace it.

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

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