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Marites Delos Angeles
2423 Cedar Lane
Vienna, VA 22180
(703) 901-5496

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Sept. 19, 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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Discussed with provider, capacity limits, required ratios based on points and background check requirements.

Comments:
An unannounced monitoring inspection was conducted today from 1:30pm-2:25pm. There were 13 children (36 points) directly supervised by 3 staff. The provider was not home during the inspection. The home, 4 staff records, 5 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely, being bottle fed and napping. There was an adequate supply of books, toys, and materials for the children. The home was clean and organized. 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.
If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@doe.virginia.gov

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on interview, the provider did not obtain a fingerprint based background check for a staff member.

Evidence:
Staff #4's record did not contain fingerprint results.

Plan of Correction: We will finish her paperwork ASAP.

Standard #: 8VAC20-770-60-B
Description: Based on interview, the provider did not obtain a completed sworn statement of affirmation from a staff member prior to their first day of employment.

Evidence:
Staff #4's record did not include a completed sworn statement or affirmation form.

Plan of Correction: We will finish her paperwork ASAP.

Standard #: 8VAC20-800-40-A
Description: Based on observation, the provider failed to ensure that the number of children receiving care did not exceed the maximum licensed capacity of the home.

Evidence:
There were 13 children in care on 9/19/2023. The home is licensed for 12 children.

Plan of Correction: We will make sure to be in capacity at all times.

Standard #: 8VAC20-800-50-B
Description: Based on record review, staff records were not made accessible to the department's representative.

Evidence:
Staff #2, Staff #3 and Staff #4 were present during the inspection; however, their records were not available for review.
Staff present during the inspection did not know where staff records are stored.

Plan of Correction: We will practice more often with staff.

Standard #: 8VAC20-800-60-B
Description: Based on record review, not all children's records contained required information.

Evidence:
Child #1's record was missing the child's medical policy number and the name, address and telephone number of one of two required emergency contacts.

Plan of Correction: We will ask the parent to complete the document.

Standard #: 8VAC20-800-170-A
Description: Based on interview, the provider did not obtain from each caregiver at the time of hire and prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form documenting the absence of tuberculosis in a communicable form.

Evidence:
Staff #4's record did not include a TB screening form.

Plan of Correction: We will finish her paperwork ASAP.

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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