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Miriam Ayala
104 S. Iris Street
Alexandria, VA 22304
(703) 370-0252

Current Inspector: Brenda Kuhlman (703) 304-9609

Inspection Date: Jan. 14, 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 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
22VAC40-80 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

Technical Assistance:
Technical assistance today included crib safety, child-proofing all areas that children walk past, practicing with the weather band radio, storage of first aid supplies, children's handwashing, use of push pins in walls.

Comments:
An unannounced renewal inspection was conducted today from 10:15 am - 1 pm. There were 7 children present with the provider and assistant for 21 points. The provider and assistant are registered to take Phase 2 training this month. I observed children singing, playing with toys, eating snack, attempting to go outdoors but finding heavy rain, involved in a music and movement activity upstairs, eating lunch and beginning nap. Outdoor areas were not inspected due to weather. If you have any questions, please contact me at brenda.kuhlman@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation during today's inspection, the food served for morning snack and lunch did not match with the posted menu.

Plan of Correction: We will work on the menus.

Standard #: 22VAC40-111-960-E
Description: Based on observation during today's inspection, none of the infant bottles were labeled as required.
Four baby bottles given to infants and toddlers today did not have labels.

Plan of Correction: We know them but we will make sure they are always labeled with name and date.

Standard #: 22VAC40-111-240-A
Description: Based on observation during today's inspection, areas of the family day home were not maintained in a clean/safe/operable manner.
Evidence:
1. A panel of wood indoors next to the front door was loose, with a long screw back accessible. There were several feet of plastic colored industrial telephone wire coming through the panel, leaving it accessible at child height.
2. A gate at the bottom of the stairs in the children's area was attached with loose string on one side and not attached on the other side today.
3. There were loose threads accessible in many areas of the carpeted stairs
4. A square table top was stored behind a much smaller plastic shelf in the children's play area, and a child was able to slide the table top out, letting it fall.

Plan of Correction: 1 During the inspection, we put duct tape around the wire and took out the screw and loose panel.
2 The gate will be replaced.
3 We will cut the threads.
4 We will put the table in another place when it is not being used.

Standard #: 22VAC40-111-280
Description: Based on observation during today's inspection, some hazardous materials were found to be in unlocked areas at child height.
Evidence:
The unlocked closet on the stairs contained a large bottle of cleaner. Children were observed walking by as they went to upstairs play areas today. It was also accessible due to the broken gate by the stairs.

Plan of Correction: We will get a lock.

Standard #: 22VAC40-111-290
Description: Based on observation during today's inspection, children walked through the kitchen where a knife was observed in a drawer with a broken latch.

Plan of Correction: It will be moved until the drawer lock is fixed.

Standard #: 22VAC40-111-430-B
Description: Based on observation during the inspection, a pressure mounted gate was leaning against an opening at the bottom of the stairs.Gates at the stairs must be securely attached, not pressure mounted.

Plan of Correction: We will get a new gate.

Standard #: 22VAC40-111-480-D
Description: Based on observation during today's inspection, two cribs were observed not to be used as the manufacturer intended.
Evidence:
Both cribs present today each had two mattresses in each crib. The crib was designed for one mattress.

Plan of Correction: Removed during inspection.

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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