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Tomas Vargas Santos
1337 Balls Hill Road
Mclean, VA 22101
(571) 251-5200

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Oct. 26, 2021

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
20 Access to minor?s records
54.1 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

Technical Assistance:
Discussed training hours and the requirement to complete the 16 hours for 2020 and 16 hours for 2021 by Dec. 31, 2021.

Discussed the carbon monoxide requirement.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and a virtual tour of the program.

A monitoring inspection was initiated and concluded on 10/26/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 12 children present, ranging in ages from 7 months to 3 years old, with 3 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 children?s records and 5 caregivers/household record were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on observation, the provider did not review the emergency plan at least annually and update the plan as needed and document in writing each review and update to the emergency plan.
Evidence:
1. The emergency plan was last updated on 8/17/2020.

Plan of Correction: I reviewed and updated today.

Standard #: 22VAC40-111-180-A
Description: Based on documentation review, the provider did not obtain updated tuberculosis (TB) tests or screenings for each caregiver and household member every two years.
Evidence:
1. Caregiver #1 and Caregiver #2 had a TB test or screening dated 5/20/2019. Household Member #1 had a TB test or screening dated 5/24/2019 and Household Member #2 had a TB test or screening dated 6/01/2019.

Plan of Correction: I will get an updated one for each of us.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the provider did not have the most recent inspection posted of the facility.
Evidence:
1. The provider had the inspection posted for 11/13/2020, but did not have the inspection dated 3/25/2021 posted.

Plan of Correction: I put it up during the 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.

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