Carol Bautista
3405 Burrows Avenue
Fairfax, VA 22030
(703) 283-1644
Current Inspector: Pamela Sneed (804) 629-2691
Inspection Date: Feb. 7, 2024
Complaint Related: No
- Areas Reviewed:
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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
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide
- Technical Assistance:
-
1. Reviewed requirements for areas of non-compliance cited.
2. Recommended caregivers attend a Family Day Home Phase 2 Training class.
3. Discussed options and requirements for hiring additional employees.
- Comments:
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An unannounced renewal inspection was conducted at 10:30am. Observed 14 children totaling 32 points with 2 caregivers. Today the daycare was operating over the licensed capacity of 12 children. There was an additional household member/caregiver and 5 visitors present. Children were observed playing with toys, having music/dance, having outdoor free-play in the backyard play area and eating lunch. Areas of non-compliance with standards and laws reviewed were found. There were 8 repeat violations found, 6 of which are a systemic deficiency. The licensee has not demonstrated sufficient compliance during the Provisional License period and a denial of the license is forthcoming. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov
Note: The licensee should submit the plan of corrections within 5 business days of receipt of this report for the plans to be included and posted on the VDOE website.
- Violations:
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Standard #: 22.1-289.011-F Description: Repeat Violation and Systemic Deficiency.
Based on observations made, the most recently issued inspection findings were not posted in a conspicuous place in the home. Evidence: The violation notice from the 10/5/23 inspection report was not posted. The report was found to be in a binder on the kitchen counter and not accessible for viewing.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-780-B Description: Repeat Violation and Systemic Deficiency.
Based on records reviewed, 7 of 16 children's records did not include documentation that a parent had reviewed emergency contact information annually.
Evidence:
1. Child #2-There was no documentation of an annual review since January 2023.
2. Child #6-There was no documentation of an annual review since the child enrolled in October 2022.
3. Child #7-There was no documentation of an annual review since the child enrolled in October 2022.
4. Child #8-There was no documentation of an annual review since the child enrolled in January 2023.
5. Child #9-There was no documentation of an annual review since the child enrolled in September 2022.
6. Child #10-There was no documentation of an annual review since the child enrolled in 2022.
7. Child #16--There was no documentation of an annual review since the child enrolled in February 2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-800-B Description: Based on records reviewed, there was no documentation that the emergency preparedness plan has been reviewed and updated annually. Evidence: The plan was last dated as reviewed on 9/7/21. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-830-A Description: Based on records reviewed and interview conducted, emergency evacuation drills were not practiced monthly. Evidence: There was no documentation that drills were completed from October 2023 - January 2024. Caregiver #2 said drills were not practiced during this time. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-830-B Description: Based on records reviewed and interview conducted, shelter-in-place drills were not practiced twice in the last year. Evidence: There was no documentation that drills were completed. Caregiver #2 said that drills were not practiced during this time. 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, 3 of 16 children's records did not have documentation of a physical exam within the first 30-days of attendance.
Evidence:
1. Child #8-No physical exam on-file. Attendance began January 2023.
2. Child #10-No physical exam on-file. Attendance began in 2022.
3. Child #16-No physical exam on-file. Attendance began February 2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-40-A Description: Based on observations made, the total number of children present and receiving care today exceeded the maximum licensed capacity of 12 children. Evidence: A total of 14 children were 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, 6 of 16 children's records did not include required information.
Evidence:
1. Child #5-There was no documentation of parent work phone numbers.
2. Child #10-There was no documentation of the medical insurance policy number and first date of attendance..
3. Child #12-There was no documentation of 1 of 2 emergency contacts and first date of attendance.
4. Child #14-There was no documentation of first dat of attendance.
5. Child #15-There was no documentation of 1 of 2 emergency contacts and first date of attendance.
6. Child #16-There was no documentation of 2 of 2 parents work information, 2 of 2 emergency contacts, individuals authorized to pick-up the child, physician information, medical insurance, emergency medical authorization and first date of attendance.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-80-A Description: Repeat Violation.
Based on records reviewed, 6 of 16 children's records did not include documentation of proof of identity within the first 7 business days of attendance.
Evidence:
1. Child #2-No verification of proof of identity documented. Attendance began February 2022.
2. Child #3-No verification of proof of identity documented. Attendance began March 2022.
3. Child #10-No verification of proof of identity documented. Attendance began June 2022.
4. Child #14No verification of proof of identity documented. Attendance began September 2023.
5. Child #15-No verification of proof of identity documented. Attendance began September 2023.
6. Child #16-No verification of proof of identity documented. Attendance began February 2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-90-A Description: Repeat Violation and Systemic Deficiency.
Based on records reviewed, 1 of 16 children did not have documentation of immunizations prior to attendance. Evidence: Child #10 began attending in 2022 and there are no immunizations on-file.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-90-C Description: Repeat Violation and Systemic Deficiency.
Based on records reviewed, 3 of 16 children's records did not include documentation of immunizations every 6 months until the age of 2 years old.
Evidence:
1. Child #4-Immunizations were dated March 2023 when the child was 18 months old.
2. Child #8-Immunizations were dated January 2023 when the child was 10 months old.
3. Child #12-Immunizations were dated May 2021 when the child was 12 months old.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-180-A Description: Based on records reviewed, 2 of 3 caregivers do not have documentation of a completed TB screening in the past 2 years.
Evidence:
1. The previous TB test for Caregiver #1 was completed 10/28/21.
2. The previous TB test for Caregiver #2 was completed 10/29/21.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-210-A Description: Repeat Violation.
Based on records reviewed and interview conducted, 1 of 3 caregivers did not obtain a minimum of 16 hours of annual training. Evidence: Caregiver #2, who has been working in the daycare since January 2022, has 0 of 16 hours of training documented.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-240-A Description: Based on observations made, a furnishing was found to be not maintained in a safe condition. Evidence: The gate separating areas of the daycare was broken and being held together with duct tape today. The gate was found to be unstable and not safe. Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-800-690-D Description: Repeat Violation and Systemic Deficiency.
Based on observations made, the diaper changing surface was found to be not non-absorbent and washable. Evidence: The diaper changing pad was torn exposing the inner foam material and therefore cannot be cleaned and sanitized appropriately.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.
