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Ms. Alicia Quiroga
13131 Drew Hunt Court
Woodbridge, VA 22192
(703) 492-0591

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Nov. 25, 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
22VAC40-111 Transportation
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Facilities and Programs

Technical Assistance:
Discussed the emergency preparedness plan, infant bedding-linens, the weekly menu, household pets, transportation.

Also discussed that there should be no bottles in cribs.

Comments:
An unannounced renewal inspection was conducted beginning at 10:00 a.m. and ending at 1:00 p.m. with the provider and two assistants. The provider was at an appointment at the beginning of the inspection and returned at approximately 10:30 a.m. The substitute timesheet and documentation was reviewed.

There were 10 children in care ranging in age from 6 months through 4 years of age for a total of 28 points. Children were observed having free play. Infants were observed having play time on the floor. Two infants were observed being fed, one a bottle, one cereal. After free play, children washed hands and prepared for lunch. Lunch today was chicken and rice soup with carrots, apple slices and milk.

There are three trained staff in Medication Administration Training (MAT). The provider reported there were no medications on site for children in care. Two pet records for dogs were reviewed. Five children's records, two household member records and three caregiver records were reviewed. Staff training was reviewed. Each caregiver completed 16 hours of training for the license year. Emergency drills were reviewed and up to date. Transportation requirements were reviewed.

Violations:
Standard #: 22VAC40-111-800-A
Description: Based on review of documentation, it was determined that the emergency preparedness plan did not include all required elements. Evidence: The shelter in place procedures included evacuating the home.

Plan of Correction: We will be reviewing the emergency preparedness plan and updating it as needed.

Standard #: 22VAC40-111-800-B
Description: Based on review of documentation and interview with the provider, it was determined that the emergency preparedness plan (EPP) was not reviewed annually. Evidence: The last documented review of the EPP was 3/2/2016.

Plan of Correction: We will be reviewing the emergency preparedness plan and updating it as needed.

Standard #: 22VAC40-111-920
Description: Based on observation, it was determined that the menu for the family day home was not current for the one-week period. Evidence: Monday, 11/25/2019 was the only day posted for the week.

Plan of Correction: The weekly menus will be completed on Friday's for the following week and posted.

Standard #: 22VAC40-111-940-A
Description: Based on observation, it was determined that the refrigerator and freezer were not maintained at the required temperature. Evidence: The refrigerator temperature was 42 degrees farenheit and the freezer temperature was 6 degrees farenheit.

Plan of Correction: The fridge and freezer were turned down during the inspection.

Standard #: 22VAC40-111-530-B
Description: Based on observation, cribs for infants did not have tight-fighting bottom covers. Evidence: In the nap room, there were three cribs that had loose fitting sheets over top of a second sheet. A fourth crib had a loose fitting sheet over top of a second sheet and over top of a mattress protector.

Plan of Correction: New tight fitting sheets will be ordered today.

Standard #: 22VAC40-111-530-D
Description: Based on observation, not all linens were cleaned when soiled. Evidence: At approximately 10:15 a.m the Licensing Inspector (LI) observed a large wet spot on the gray sheet in Child A's crib. The wet spot was at the bottom of the sheet and approximately 12 inches in length.

Plan of Correction: Staff will be reminded to ensure that linens are changed as needed and required for our policies.

Standard #: 22VAC40-111-530-F
Description: Based on observation, there was soft bedding and stuffed toys used in infant cribs. Evidence: A stuffed animal 'lovey' was observed in the crib of Child B, age 7 months.

Plan of Correction: The stuffed animal will be sent home.

Standard #: 22VAC40-111-690-D
Description: Based on observation, it was determined that the diapering surface did not meet requirements. Evidence: The diaper pad had an approximately .5 inch tear in the nonabsorbent covering which made it absorbent.

Plan of Correction: A new diaper pad has been ordered.

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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