VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Madelaine Cuello
5522 Elder St.
Fredericksburg, VA 22407
(540) 628-5676

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Aug. 22, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household Members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 The License 8VAC20-820 The Licensing Process 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

8VAC20-800-840 Discussed requirements for recording injury or accidents.

Comments:

An unannounced renewal inspection was conducted on 8/22/23 from 11:00 a.m. to 12:30 p.m. with the provider and one assistant. There were four children in care, ranging in age from two to four-years-old, for a total of eight points. Children were observed in free play and eating lunch. Four child records, one household member and two staff records were reviewed. The provider has current certification in CPR and First Aid. The provider has current Medication Administration Training and there were no medications on site. Lunch served was chicken fingers, fries, oranges and milk. The first aid kit, flashlight, weather band radio, and fire extinguisher were observed. The emergency drill log, attendance, and menu were also reviewed. Areas of non-compliance are identified in the Violation Notice. If you have questions regarding this inspection, please contact the Licensing Inspector, Beth Velke, at beth.velke@doe.virginia.gov or 804-629-8302. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by 5 p.m. on 9/18/25.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and interview, the provider did not post the most recent inspection of the family day home. Evidence: The findings of the most recent inspection of the family day home was not posted; the documentation of the last inspection was stored in a folder.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.058
Description:	Based on observation and interview, the provider did not ensure that the home, built prior to 2015, was equipped with a carbon monoxide detector. Evidence: An interview revealed that the provider thought the smoke detector, located in the day care area of the home, was a carbon monoxide detector.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-800-A
Description:	Based on interview, the provider did not have a written emergency preparedness and response plan. Evidence: The provider stated that the emergency preparedness plan has not been completed yet but it is being worked on.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous substances such as disinfectants, were not stored in areas inaccessible to children. Evidence: There was a container of disinfectant wipes and an air freshener spray located on top of a toy shelf, accessible to children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-320-A
Description:	Based on observation the provider did not ensure small electrical appliances were unplugged when not in use. Evidence: In the kitchen a toaster and coffee machine were plugged in and not in use.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-500-C
Description:	Based on observation and measurement the provider did not ensure that stationary playground equipment was placed at least six feet from the perimeter of other play structures. Evidence: A slide exit attached to the stationary playground structure was 46 inches away from the trampoline.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-500-F
Description:	Based on observation and interview the provider did not ensure that trampolines were not used during the hours children are in care. Evidence: An interview with the provider revealed, the trampoline was used by children in her care, ages six to eight-years-old. The standard requires that trampolines are not used during the hours children are in care.
Plan of Correction:	Not available online. Contact Inspector for more information.