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Ms. Erendira Ayala
24519 Glenville Grove Terrace
Aldie, VA 20105
(571) 509-8283

VDSS Contact: Sheila F Nelson (804) 629-7489

Inspection Date: Jan. 30, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-850 PROVIDER REGISTRATION AND GENERAL PROCEDURES
8VAC20-850 HEALTH AND SAFETY CHECKLIST
20 Access to minor?s records
22.1 Background Checks Code; storage of firearms
63.2 Child abuse and neglect
8VAC20-770 Background Checks

Technical Assistance:
Consultation provided for using the new website: childcare.virginia.gov /providers for resources on training, model forms, background checks and submitting renewal application.

Comments:
An unannounced annual health and safety inspection was conducted on January 30, 2023, between the hours of 11:05am and 12:25pm. There were 2 children present with one caregiver supervising. The inspector reviewed 2 children?s files and one caregiver file. The inspection covered only the requirements for a voluntary registered family day home. 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. Please contact Sheila.nelson@doe.virginia.gov if you have any questions.

Thank you for your cooperation during this inspection.

Sheila Nelson
License Inspector
Virginia Department of Education
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
804-729-7489

Violations:
Standard #: 22.1-289.036-A
Description: Based on record review, the provider did not obtain documentation for a 5 year repeat check.
Evidence:
1. Caregiver #1 did not have documentation of an updated central registry results (expired 11/15/21).
2. Caregiver #1 did not have documentation of an updated sworn statement (expired 8/20/21)

Plan of Correction: I will submit the central registry on Thursday and will sign the sworn statement too.

Standard #: 8VAC20-850-30-C-2-b
Description: Based on record review, the provider did not obtain additional tuberculin skin screening every two years after the non-significant (negative) reaction to an initial tuberculin skin test.
Evidence: Caregiver #1 last documented tuberculin skin screening was 12/29/2020.

Plan of Correction: I schedule the test for Thursday and will send you the results.

Standard #: 8VAC20-850-90-B
Description: Based on record review and interview, the provider did not maintain on file a signed statement from each parent, affirming receipt of the information to the parents' statement.
Evidence: 1. Records did not contain documentation that the parents were provided Information to Parents Statement.
2. The provider acknowledge the forms were not provided to the parents.

Plan of Correction: I will print the form and give to my parents and I will put in child's file.

Standard #: 8VAC20-850-90-C
Description: Based on record review and interview, the provider did not maintain individual record for each child enrolled in care.
Evidence: 1. Child #1 and Child #2 do not have required documentation on file.
2. There is no documentation of parent's place of employment.
3. There is no emergency contaxts and phone numbers.
4. Any known or suspected allergies are not listed on documentation.
5. There is no documentation of the name of the parent's hospitalization plan and number or medical assistance plan.
6. There is no parent's signed authorization for the child's emergency medical treatment and written consent for giving of medication to the child.
7. There is no results of the health examination and up-to-date immunization records of each child on file.
8. There is no written agreement between the family day provider and the natural parent for each child in care (hours of care per day, week or month, cost of care, frequency and amount of the payment and any special services to be provided by either party)

Plan of Correction: I will get the forms completed for each child and make a file for each one.

Standard #: 8VAC20-850-110-C
Description: Based on observation and interview, the provider did not meet all the criterial on the health and safety checklist in the family day home.
Evidence:
1. The provider acknowledged the monthly evacuation drills were not conducted.
2. The documentation of evacuation drills was not available.
3. The 911 sticker or emergency telephone numbers were not posted in clear view.
4. The protective barriers were not placed on stairways that are accessible to children.
5. The electrical outlets are not child-proof in all areas that are accessible to children.

Plan of Correction: I will practice an evacuation drill each month. I will correct all these by this Friday.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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