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Enma Rivas
5657 Chelmsford Court
Burke, VA 22015
(703) 425-1511

Current Inspector: Sarah Zirzow (703) 479-4675

Inspection Date: July 25, 2024

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.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

Technical Assistance:
Technical assistance provided for the Central Registry portal. Discussion regarding completing logs and records in their entirety.

Discussed the updated background check requirements that were effective July 1, 2024.

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:
An unannounced, on-site renewal inspection was initiated and completed on July 25, 2024, as a part of the licensure period. The on-site inspection began at 9:15am and ended at 11:15am. The inspector reviewed compliance in the areas listed above. There were 8 children present (21 points) and 3 staff. The inspector reviewed 8 children?s records and 4 staff records on-site. This inspection included document review (i.e. Injury logs, policies and procedures, emergency drill logs, and authorization forms), tour of the home, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on August 6, 2024 . A POC submitted after this date will not appear on the public website.

Violations:
Standard #: 8VAC20-800-780-B
Description: Based on record review, the provider did not review with the parent the emergency contact information required and obtain the parent?s signed acknowledgment for the review.

Evidence:
-The last update for Child #1 (date of enrollment 1/5/22), was 12/28/21.
-The last update for Child #5 (date of enrollment 11/28/22), was 3/24/23.
-The last update for Child #6 (date of enrollment 12/5/22), was 9/20/22.
-The last update for Child #7 (date of enrollment 2/14/22), was 2/14/22.

Plan of Correction: I will get the information by the end of next week.

Standard #: 8VAC20-800-120-B
Description: Based on record review, the provider did not ensure caregiver records contained the required information.
Evidence:
-The records for Staff #2 (date of hire 3/25/24) and Staff #3 (date of hire 1/16/24) did not contain the name, address, and telephone number of a person to be notified in an emergency.
-The records for Staff #2 and Staff #3 did not contain documentation that two or more references were checked before employment. The provider stated that only one was checked, but not documented.

Plan of Correction: I will obtain and place the required information in their files.

Standard #: 8VAC20-800-50-A
Description: Based on record review, the family day home did not keep an accurate written record of children in attendance each day.

Evidence: The daily attendance for 7/26/2024 was already completed with arrival and departure times for 9 children.

Plan of Correction: Moving forward, I will keep an accurate record of daily attendance.

Standard #: 8VAC20-800-210-A
Description: Based on record review and provider interview, caregivers did not obtain a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities.

Evidence:
There was no record of training and the provider stated they have not completed training.

Plan of Correction: I will work on completing the required trainings for the remainder of the year.

Standard #: 8VAC20-800-230-A
Description: Based on record review, the provider did not maintain written documentation of each caregiver?s applicable education and programmatic experience.

Evidence: There was no documentation of education and experience on record for Staff #2 and Staff #3.

Plan of Correction: I will print the required information for their files.

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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