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Carol Bautista
3405 Burrows Avenue
Fairfax, VA 22030
(703) 283-1644

Current Inspector: Pamela Sneed (804) 629-2691

Inspection Date: Oct. 5, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Emergencies
8VAC20-820 THE LICENSE.

Technical Assistance:
1. Recommend reviewing with all caregivers the handwashing procedures.
2. Discussed with caregiver the expectation of word use in the presence of children.
3. Background checks are required for any adult age 18 years of age and up that is living in the home or visiting the home for more than 4 weeks.
4. Recommended children not be allowed to attend until all required enrollment documents are on-file.

Comments:
An unannounced focused monitoring inspection was conducted at 9:50am. Observed 11 children totaling 28 points with 2 caregivers. The licensee was not present today. Ratios and supervision were in compliance. Children were playing with toys, having outside active play in the backyard, and having diapers changed. The daycare areas of the home were found to be clean and well supplied with toys and equipment for the children. Some of the previous violations cited were corrected while some areas remained out of compliance. Areas of non-compliance with standards and laws reviewed were found. The Licensing Administrator was present during the inspection. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov

Violations:
Standard #: 22.1-289.011-F
Description: Repeat violation.
Based on observations made, the most recently issued inspection findings were not posted in the home. Evidence: The violation notice from the 7/26/23 inspection report was not posted.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.020
Description: Based on observations made, the licensee failed to ensure that the most recently issued Provisional License was posted in the home. Evidence: The previously issued expired license was posted.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-780-B
Description: Repeat violation.
Based on records reviewed, 8 of 15 children's records did not include the parent's signed acknowledgment that emergency contact information was reviewed annually.

Evidence:

1. Child #1-There was no parent signed acknowledgement of annual review emergency contact information. Child began attending in August 2021.
2. Child #2-There was no parent signed acknowledgement of annual review emergency contact information. Child began attending in February 2022.
3. Child #3 - There was no parent signed acknowledgement of annual review emergency contact information. Child began attending in September 2023.
4. Child #4-There was no parent signed acknowledgement of annual review emergency contact information. The most recent parental signature was in August 2021.
5. Child #5-There was no parent signed acknowledgement of annual review emergency contact information. The most recent parental signature was in August 2022.
6. Child #6-There was no parent signed acknowledgement of annual review emergency contact information. Child began attending in March 2021.
7. Child #9-There was no parent signed acknowledgement of annual review emergency contact information. Child began attending in September 2022.
8. Child #10-There was no parent signed acknowledgement of annual review emergency contact information. Child began attending in June 2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-100-A
Description: Repeat violation and systemic deficiency.
Based on records reviewed, 5 of 15 children's records did not include documentation of a physical exam within 30-days after the first day of attendance.

Evidence:

1. Child #2-There was no physical exam on-file. Child's first day of attendance was in February 2022.
2. Child #3-There was no physical exam on-file. Child's first day of attendance was in September 21.
3. Child #6-There was no physical exam on-file. Child's first day of attendance was in March 2021.
4. Child #10-There was no physical exam on-file. Child's first day of attendance was in June 2022.
5. Child #11-There was no physical exam on-file. Child's first day of attendance was in January 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-A
Description: Repeat violation.
Based on interview conducted, 2 of 15 children enrolled did not have an up-to-date enrollment record.

Evidence:

1. There was no enrollment record available for review for Child #13. According to attendance records for this week Child #13 was in care.
2. There was no enrollment record available for review for Child #15c, who was observed to be in care today.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-B
Description: Repeat violation and systemic deficiency.
Based on records reviewed, 4 of 15 child records did not include documentation of required information.

Evidence:

1. Child #2-There was no documentation of proof of identity.
2. Child #3-There was no documentation of parents work information; 2 of 2 emergency contact persons name, address + phone number; medical insurance; emergency medical care authorization; and proof of identity.
3. Child #6-There was no documentation of medical insurance policy number.
4. Child #10-There was no documentation of medical insurance policy number and proof of identity.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-90-A
Description: Repeat violation.
Based on records reviewed, 3 of 15 children's record did not include documentation of immunizations before the child may attend.

Evidence:

1. Child #2- There are no immunizations on-file. The child began attending February 2022.
2. Child #10-There are no immunizations on-file. The child began attending June 2022.
3. Child #15-There are no immunizations on-file. First day of attendance not know.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-90-C
Description: Based on records reviewed, 3 of 15 children's records did not include documentation of immunizations every 6 months until the age of 2 years old.

Evidence:

1. Child #3-The immunizations on-file were dated August 2021 when the child was 13 months old.
2. Child #6-The immunizations on-file were dated May 2020 when the child was 15 months old.
3. Child #13-The immunizations on-file were dated May 2021 when the child was 12 months old.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-140-D
Description: Based on interview conducted, the licensee failed to ensure that a written record documenting the arrivals and departures each day of the substitute provider.

Evidence:

1. The licensee (Caregiver #1) was reported to be absent and not providing care this week, since 10/2/23.
2. Caregivers #2 and #3 were present today, and caregiver #3 was reported to be working as the substitute caregiver during the licensee's absence.
3. There was no written documentation of the substitute provider's work hours for this week.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-500-C
Description: Based on observations made, a piece of stationary outdoor playground equipment did not have a minimum of a 6' perimeter fall zone from other structures. Evidence: A rock wall climber was approximately 27" from the wood fence and was surrounded by other play structures on the outdoor play area in the backyard.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-690-D
Description: Repeat violation.
Based on observations made, the licensee failed to ensure that the diaper changing surface was non-absorbent.

Evidence:

1. A cloth cover was on the diaper changing pad.
2. The diapering surface was not being cleaned with soap + water and then sanitized bleach + water due to the cloth cover.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-690-E
Description: Based on observations made, the licensee failed to ensure that soiled diapers and wipes were disposed of in a foot operated disposal container, or a container that neither the caregivers hands or soiled items touch the exterior surface.

Evidence:
1. Soiled diapers were being disposed of in a trash can that had a flip-top lid that the soiled diapers touched as being discarded.
2. The disposal container was outside of the house and required a caregiver to touch the door before exiting to dispose of the items.

Plan of Correction: Not available online. Contact Inspector for more information.

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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