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Sandra Vergara
7707 Erie Street
Annandale, VA 22003
(703) 785-4436

Current Inspector: Tameika King (804) 629-7486

Inspection Date: March 4, 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 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced renewal inspection was conducted today between 11:45 am and 3:15 pm. There were 11 children (32 points) present with 3 caregivers. The physical plant, children's records, caregiver's records, household member's records, attendance records, evacuation logs, bottles, emergency plans, and emergency supplies. There were no medications on site. The children were observed during nap time and playing with floor toys. They were also observed during hand-washing and snack time. Snack consisted of banana/s and Ritz crackers and water. Areas of non compliance were cited on the Violation Notice. If you have any questions, contact Tanya.Johnson1@dss.virginia.gov or call 57`.423.6392.

Violations:
Standard #: 22VAC40-111-960-E
Description: Based on observation, the provider failed to ensure that all bottles in the refrigerator were labeled with the child's full name and dated.

Evidence:
There were two unlabeled bottles in the refrigerator.

Plan of Correction: I will remind parents to label bottles and I will label and date them if parents forget.

Standard #: 22VAC40-111-100-A
Description: Based on a review of children's records, the provider failed to obtain a physical by the 30th day of attendance.

Evidence:
Child #5's records did not have documentation of a physical by the 30th day of attendance. First day of attendance 1.13.2020.

Plan of Correction: I will ask parents for physical.

Standard #: 22VAC40-111-120-B
Description: Based on review of caregiver records, the provider failed to ensure that all caregivers had documentation of two references.

Evidence
Caregiver #2 did not have documentation of two references.

Plan of Correction: I will ask her to obtain two references.

Standard #: 22VAC40-111-60-A
Description: Based on a review of children's records, the provider failed to maintain up to date records for children enrolled in the wrfamily day home.

Evidence:
1. Child #1's record did not have documentation of a medical insurance policy number or written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parents presents a written objection to provision of medical treatment on religious or other grounds.
2. Child #3's record did not have documentation of an address for the first emergency contact, a medical insurance company, a medical insurance policy number, or a written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parents presents a written objection to provision of medical treatment on religious or other grounds.
3. Child #4's record did not have documentation of work address or work phone number for either parent, emergency contact information for second contact, names of persons other than the custodial parents who are authorized to pick up the child,or a medical insurance policy number.

Plan of Correction: I will get information from parents.

Standard #: 22VAC40-111-80-B
Description: Based on a review of the children's records, the provider failed to verify the identity and age of the child by viewing one of the required documents.

Evidence:
The provider has not viewed a certified birth certificate, birth registration card, a passport, copy of a placement agreement, or report card. (First day of attendance 01.13.2020)

Plan of Correction: I will ask parent for birth certificate.

Standard #: 22VAC40-111-90-A
Description: Based on a review of children's records, the provider failed to obtain documentation of immunizations by the first day of attendance.

Evidence:
Child #4 and #5's record did not have documentation of immunizations. First day of attendance 1.13.2020.

Plan of Correction: I will get from parents.

Standard #: 22VAC40-111-280
Description: Based on observation, the provider failed to ensure that potentially poisonous substances shall be stored away from areas accessible to children.

Evidence:
A spray bottle of alcohol was stored under the bathroom sink.

Plan of Correction: Removed during inspection.

Standard #: 22VAC40-111-680-A
Description: Based on observation, the assistant failed to wash their hands with liquid soap and warm running water after diapering a child.

Evidence:
The Inspector observed the caregiver during diaper changing and the caregiver did not wash their hands with liquid soap and warm water after diaper changing.

Plan of Correction: I will remind caregivers to wash their hands after diaper changing.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the caregiver failed to ensure that children's hands are washed with liquid soap and running water after a diaper change.

Evidence:
The Inspector observed the diaper change and the caregiver did not ensure that the child's hands were washed with liquid soap and warm running water after diapering.

Plan of Correction: I will remind caregivers to wash children's hand after diapering and toileting.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on a review of household member records, the provider failed to ensure that a child protective services central registry check will be conducted within 30 days of a person in the home becoming 14 years old.

Evidence:
Provider's son become 14 years old 08/02/2019.

Plan of Correction: I will submit the form.

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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