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Hilda Bustamante
1531 Coat Ridge Rd.
Herndon, VA 20170
(703) 657-0317

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: Jan. 22, 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
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Facilities and Programs

Technical Assistance:
Discussed with provider cribs standards and rest areas standards.

An unannounced monitoring inspection was conducted today from 12:20pm-2:30pm. There were 11 children (30 points) directly supervised by 3 staff. The home, 3 staff records, 5 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed transitioning into naptime. There was an adequate supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified on the Violation Notice.

If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or

Standard #: 22VAC40-111-770
Description: Based on review of emergency supplies, not all emergency supplies were in operable condition.

The Family Day Home did not have a portable battery-operated weather band radio in working condition during the inspection, the provider placed batteries in the radio but the radio did not turn-on.

Plan of Correction: I will order a new weather-band radio.

Standard #: 22VAC40-111-110-B
Description: Based on record review, a physical examination on file was not signed by a licensed physician, the physician's designee, or an official of a local health department.

Child#4's record contains a physical examination that was not signed by a licensed physician, the physician's designee, or an official of a local health department.

Plan of Correction: I will ask the parents to bring a new physical form with the doctor's signature.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records did not contain all the required information.

Child#2's record is missing the address for 1 of 2 required emergency contacts.

Plan of Correction: I will ask the parents to provide the information.

Standard #: 22VAC40-111-70-A
Description: Based on review of children's records, the provider does not have documentation that parents were provided in writing required information before the child's first day of attendance.

Child#5's record is missing the family day home's policies for the administration of medication and the provisions of the family day home's emergency preparedness and response plan.

Plan of Correction: I will make a copy of the documents to have the parents sign them and return them to me.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years.

Child#1's record contains an immunization record that was last updated on 11/1/2018.

Plan of Correction: We will ask the parents to provide an updated record.

Standard #: 22VAC40-111-130
Description: Based on records review, staff records were incomplete.

Staff #2's record is missing two references as to their character and reputation, as well as competency required prior to the first day of employment.

Plan of Correction: I will complete two reference forms to add them to the file.

Standard #: 22VAC40-111-430-A
Description: Based on observation and provider statement, children under two years of age have access to the stairs as no gate was in use at the bottom of the stairs during the inspection.

The provider did not have a gate at the bottom of the steps to prevent the children in care from having access to the stairs.

Plan of Correction: A gate was installed but it didn't work, we will install a new one.


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.