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Rosa Castro Thomason
8233 Smithfield Avenue
Springfield, VA 22152
(703) 923-0398

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Jan. 13, 2020

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 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
22VAC40-80 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.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced monitoring inspection was conducted today between the hours of 9:45am through 11:45am with the provider on site. The provider was over capacity with 13 children (37 points) with the provider and two assistants. A sample of 5 children's files and 3 staff/household member's files were reviewed. The children were engaged in the following: toy play, diaper changes, hand washing, reading stories with the provider, working on an art project making a hedge hog and climbing through tunnels to music. Interactions between the children and caregiver were positive. The physical space, evacuation drills, attendance records, injury reports, medications and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@dss.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1. The provider had 2 children's medications on a high shelf in the utility room, but the medications were not locked. The utility room door was open.

Plan of Correction: I will purchase a box with a lock this week.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.
Evidence:
1. Child #2 began with the provider on 8/027/2018 and the provider did not have documentation of a physical examination for the child.

Plan of Correction: I will notify parents today to bring the physical exam tomorrow.

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider failed to ensure that the total number of children receiving care at any one time did not exceed the maximum licensed capacity of the home.
Evidence:
1. The provider had 13 children present on 1/13/2020. The provider's licensed capacity is 12 children.

Plan of Correction: I will be sure that this wont happen again. Baby got picked up by noon.

Standard #: 22VAC40-111-60-B
Description: Based on review of five children's records, the provider did not maintain complete children's records.
Evidence:
1. Child #2 (start date 8/28/2018) did not have the child's medical insurance policy number, proof of identity, results of health exam and documentation of the review of the child's emergency contact information.
2. Child #3 (start date 8/02/2019) did not have proof of identity and documentation of the review of the child's emergency contact information.
3. Child #4 (start date 12/16/2018) did not have documentation of the review of the child's emergency contact information.

Plan of Correction: I will be sure I notify parents to comply with the information necessary.

Standard #: 22VAC40-111-80-C
Description: Based on review of children's records, the provider did not document in the child's record, the method of verification for proof of age and identity.
Evidence.
1. Child #2 (start date 8/27/2018) and Child #3 (start date 8/02/2019) did not have documentation of who verified the proof of age and identity.

Plan of Correction: I will be sure to notify parents to obtain the information needed.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider did not maintain furnishings of the family day home inside in a safe and operable condition.
Evidence:
1. One crib mattress had 4 large cracks in the mattress pad.

Plan of Correction: I will be purchasing a new mattress this week.

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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