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Dina Ibarra
9221 Wildwood Street
Lorton, VA 22079
(571) 239-2488

Current Inspector: Sarah Marbert (703) 479-4678

Inspection Date: March 12, 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.

Technical Assistance:
Discussed record keeping.

Comments:
An unannounced renewal inspection was conducted today between the hours of 9:30 am through 1:30 pm with the provider on site. There were 7 children (18points) with the provider and one assistant present. A sample of 4 children's files and 6 caregiver/household member's files were reviewed. The children were observed playing independently, participating in circle time, and dancing. Snacktime, bathroom breaks, handwashing, and lunch were also observed. The physical space, emergency supplies, evacuation drills, and attendance records were reviewed. Areas of non-compliance are identified in the violation notice.A subsidy health and safety inspection (SHSI) was also completed today. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review with the parent the emergency contact information required in 22 VAC 40-111-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.

Evidence:
1. Child #4 began attendance on 12/3/18. The emergency information for Child #4 was last reviewed by parents on 12/2/18.
2. Child #5 began attendance on 7/5/17. Acknowledgement that the emergency information for Child #5 was reviewed by parents was last signed by the parent on 1/11/19. Provider stated the parent reviewed the information but forgot to sign the form.

Plan of Correction: I will have the parents update the information.

Standard #: 22VAC40-111-920
Description: Based on review of the menu, the current menu was not dated as required.

Evidence:
The menu posted did not include the date for the current one week period.

Plan of Correction: I will add the dates to the menu.

Standard #: 22VAC40-111-60-A
Description: Based on record review and provider interview, the provider did not maintain an up-to-date record at the family day home for one enrolled child.

Evidence:
1. The record for Child #1 was not available for review during inspection.
2. Provider reported asking the parent to review and update emergency contact information and believes the parent may have the file.

Plan of Correction: I will ask the parent today and continue to look for the file.

Standard #: 22VAC40-111-60-B
Description: Based on record review, 1 of 5 children's records did not contain all required information.

Evidence:
1. The record for Child #3 did not contain the policy number of the child's medical insurance and names of persons other than the custodial parents who are authorized to pick up the child.

Plan of Correction: I will ask the parents for the information.

Standard #: 22VAC40-111-70-A
Description: Based on record review, the provider did not ensure parents were provided in writing all required information before the child's first day of attendance.

Evidence:
The records for Child #2 and Child #5 did not contain documentation that the parents received the family day home policies for the administration of medications.

Plan of Correction: I will give them the papers and have them sign today.

Standard #: 22VAC40-80-120-E-2
Description: Based on record review, the findings of the most recent inspection of the facility was not posted.

Evidence:
The most recent inspection of the family day home occurred on 10/28/19. The violation notice for this inspection was not posted.

Plan of Correction: I will post today's violation notice on my board.

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.

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