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Marilu Chavez
20009 Broad Run Drive
Sterling, VA 20165
(703) 989-7044

Current Inspector: Maria Soto (571) 835-5058

Inspection Date: Feb. 3, 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
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
Discussed substitute provider requirements.

Comments:
An unannounced 60 day monitoring inspection was conducted today from 12:30pm to 2:20pm during the conditional licensure period. There were 11 children (32 points) directly supervised by 3 staff. The home, 3 staff records, 6 children?s records, 2 household member?s records, evacuation drills, emergency supplies, and policies were inspected. Children were observed transitioning into naptime and napping. Diapering procedures were also observed. 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 maria.soto@dss.virginia.gov

Violations:
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 within 30 days of attendance.

Evidence:
Child#3's record does not contain documentation of a physical examination, the child's first day of attendance was documented as 3/12/2019.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-120-A
Description: Based on record review and interview, the provider did not maintain a record for each caregiver.

Evidence:
Staff#2's record was not available for review during the inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the provider did not obtain written documentation to verify that two or more references were checked for staff members.

Evidence:
Staff#1 and #2 records do not include 2 required references as to their character and reputation, as well as competency required prior to their first day of employment.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-A
Description: Based on record review and staff interview, the provider did not have a record for each child in care.

Evidence:
Two out of eleven children in care do not have records available for review at the Family Day Home. Child#6 and #7, were in care during the inspection, but they did not have a file on-site.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider did not maintain complete children's records.

Evidence:
Child#4 is missing the father's work address and his work phone number, the address for 1 of 2 required emergency contacts, and the authorization for emergency care. Child#5 is missing both parents' place of employment, their work addresses and work phone numbers, two required emergency contacts information, the child's medical insurance name and policy number, and a written authorization for emergency medical care.

Plan of Correction: Not available online. Contact Inspector for more 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.

Evidence:
Child#3's record is missing the family day home's policies for the administration of medication, provisions of the family day home's emergency preparedness and response plan and the Liability Insurance Declaration form.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation that the child has been adequately immunized before their first day of attendance.

Evidence:
Child#3's record does not include documentation that the child has been adequately immunized.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-530-B
Description: Based on observation of the crib room, three cribs being used during the inspection, did not have a tight-fitting bottom cover.

Evidence:
Three occupied cribs located in the crib room were observed with crib sheets that did not fit tightly.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-60-B
Description: Based on record review and interview, a staff member did not complete a sworn statement or affirmation form prior to employment.

Evidence:
Staff#2's record did not include a sworn statement or affirmation form. The staff member's first day of employment was 1/30/2020.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2-1720.1-B-2
Description: Based on record review, the center did not obtain a fingerprint based background check for a staff member prior to their first day of employment.

Evidence:
Staff#2's record does not contain fingerprint check results, fingerprint results for staff members are required prior to their first day of employment.

Plan of Correction: Not available online. Contact Inspector for more information.

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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