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Fabiola Salinas

Inspection · 2025-04-17

Date
2025-04-17
Complaint Related
No
Licensing Inspector
Maria Robles-Lopez
(703) 397-3827
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site focused inspection was initiated and completed on 04/17/2025, as part of the provisional licensure period. The Department issued a Notice of Intent to deny renewal application for a license on 04/08/2025 as a result of high-risk violations.

The on-site inspection began at 8:50 ma and ended at 10:45 am. The inspector reviewed compliance in the areas listed above.

There were 10 children present and 2 caregivers; the point total was 23. The inspector reviewed 11 children?s records and 2 caregiver records on-site.

This inspection included document review and tour of the facility.

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 complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within 5 business days from today, which will be the close of business on 04/30/2025. A POC submitted after this date will not appear on the public website.

Violations

15
Standard 8VAC20-800-280
*REPEAT VIOLATION*
Potentially poisonous substances shall be stored in an area inaccessible to children

The door to the laundry room was unlocked. The following substances were observed on the floor of the laundry room: at least three gallons of bleach, fabric softener, and disinfecting (Lysol) wipes.
Plan of Correction: The laundry room is now kept locked at all times and is clearly labeled as restricted. All cleaning supplies have been relocated to a locked cabinet mounted at adult height inside the laundry room. A daily safety checklist now includes verification of all hazardous materials being stored securely. Staff have received additional training on maintaining a safe environment, particularly in managing access to utility and supply areas.
Standard 8VAC20-800-340-C
The bathroom shall be kept clean and contain a working toilet and sink, toilet tissue, liquid soap, and paper towels.

There was no paper towels available in the bathroom.
Plan of Correction: All topical creams have now been properly labeled with the child?s full name. We?ve introduced a labeling requirement as part of the daily morning check-in and inventory process. Parents have been informed of the labeling policy, and unlabeled products will not be accepted moving forward.
Standard 8VAC20-800-50-A
*REPEAT VIOLATION*
The family day home shall keep a written record of children in attendance each day.

At the time of inspection, ten children were in care but only eight children were included in the attendance list as present.
Plan of Correction: We have updated our attendance procedures to ensure that every child present is immediately recorded upon arrival. A new daily attendance checklist has been implemented with an initial and verification step by both the lead and assistant caregivers. We are also conducting a morning attendance cross-check during circle time to ensure accuracy. Staff have been re-trained on the importance of real-time recordkeeping
Standard 8VAC20-800-570-A
*REPEAT VIOLATION*
The provider shall ensure that a caregiver does not exceed 16 points.

At the time of entrance, the assistant caregiver was alone with nine children for a total of 20 points.
Plan of Correction: We have reviewed the point system in-depth with all staff and restructured our staffing schedule to ensure ratios and point limits are always met. In the future, no assistant will be left alone without first verifying that the total child point count is within regulation. Additionally, we are implementing a point-count log for transitions and staff breaks to ensure continuous compliance.
Standard 8VAC20-800-60-A
*REPEAT VIOLATION*
The provider shall maintain an up-to-date record at the family day home for each enrolled child.

On the date of inspection, there was no record for Child #3.
Plan of Correction: A complete and up-to-date file has now been created for Child #3, including all required documentation (emergency contacts, immunizations, proof of identity, and enrollment forms). To prevent this in the future, we have implemented a file verification process before a child begins care. Additionally, we now conduct quarterly audits of all children?s records
Standard 8VAC20-800-60-B
*REPEAT VIOLATION*
A child's record shall contain the required documentation.

The record for child #1 did not have documentation of addresses for two designated persons to contact in case of an emergency.
The record for children #2, #9, and #10 did not have documentation of the signed acknowledgment of the medication policy for the FDH.
The record for child #4 did not have documentation that the original proof of the child's identity had been reviewed. The record did not contain documentation for authorization for emergency care.
Plan of Correction: All mentioned files have now been updated to include the required information. We have initiated a full review of every child?s file and created a tracking checklist to ensure that no documents are missing or incomplete. Moving forward, all enrollment packets will be double-checked prior to the child?s start date, and parents will be asked to confirm file completeness during quarterly updates. Staff responsible for file maintenance have received updated training on regulatory requirements.
Standard 8VAC20-800-680-A
*REPEAT VIOLATION*
Caregivers shall wash their hands with liquid soap and warm running water after diapering a child or assisting a child with toileting.

Caregiver #2 was observed changing the diaper of an infant. They did not wash their hands after diapering the child.
Plan of Correction: has received retraining on the proper hygiene protocols, including the requirement to wash hands with liquid soap and warm running water after every diaper change. We have also posted visual handwashing procedure reminders in the diapering area and instituted periodic supervision to reinforce hygiene compliance.
Standard 8VAC20-800-680-B
*REPEAT VIOLATION*
Caregivers shall ensure that children's hands are washed with liquid soap and warm running water after diapering; and before eating.

Child #5's diaper was changed by Caregiver #2 and the child's hands were not washed with liquid soap and running water.
Child #1 arrived to the fdh from home and was offered breakfast. Child #1 began to eat their breakfast without washing their hands first.
Plan of Correction: Caregivers have been retrained to ensure that children?s hands are washed after each diaper change and before all meals. A visual checklist has been posted near changing stations to guide caregivers through each step, and compliance will be monitored by the provider through random daily checks.
We have implemented a new routine in which every child is guided directly to wash their hands upon arrival before any activity, especially meals. Visual prompts and a handwashing schedule have been posted at the entrance and kitchen area to reinforce this practice. All staff have been retrained on this requirement.
Standard 8VAC20-800-690-D
The diapering surface shall be cleaned and sanitized after each use.

The diapering surface was not cleaned and sanitized after Caregiver #2 changed the diaper of Child #5.
Plan of Correction: has been re-trained on required diapering hygiene procedures, including immediate sanitizing of all surfaces after each use. The daycare has also added a posted step-by-step guide at each changing station and a diapering sanitation log to ensure accountability.
Standard 8VAC20-800-690-L
*REPEAT VIOLATION*
Toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use.

A toilet chair that was used by a child was emptied and rinsed but not cleaned and sanitized.
Plan of Correction: We have updated our sanitation routine to include a three-step cleaning process for toilet chairs (empty, wash, sanitize) after each use. A sanitation log will now be used to document each cleaning, and caregivers have been instructed and retrained on proper cleaning protocols using EPA-approved disinfectants.
Standard 8VAC20-800-750-A
When topical skin products are used, the product shall be labeled with child's name.

Three out of four diaper cream products in the diapering area were not labeled with the child's name.
Plan of Correction: All expired products have been removed and properly discarded. We have instituted a monthly product review log to verify that all topical items are within date. Parents have been reminded in writing to routinely check the expiration dates on items sent from home.
Standard 8VAC20-800-750-D
When topical skin products are used, the product shall not be used beyond the expiration date of the product.

Diaper creams were observed in the diapering area with the following expiration dates: February 2019, October 2023, March 2024, and June 2024.
Plan of Correction: All expired diaper creams were immediately discarded. A monthly inventory check is now in place to ensure all topical products are labeled and within expiration. Parents have been notified of the updated policy, and staff have been retrained to check expiration dates before each use.
Standard 8VAC20-800-780-B
*REPEAT VIOLATION*
Annually, the provider shall review with the parent the emergency contact information required in 8VAC20-800-60 B 2 to ensure the information is correct, and obtain the parent's signed acknowledgment of the review.

Records for children #2, #4, #5, #6, #7 and #8 did not have a parent's signed acknowledgment of the review. Children #2 and #4 have been in care over one year and seven months. Children #5, #6, #7 and #8 have been in care over one year and one month.
Plan of Correction: We have contacted the parents of the listed children and obtained signed acknowledgments for all emergency contact reviews. A reminder system has been added to our calendar to ensure this review is conducted annually for each child moving forward. All staff have been briefed on this requirement, and parents will now be prompted during their annual parent-provider conference.
Standard 8VAC20-800-900-B
Children shall not be allowed to eat or drink while walking, or playing.

Child #5 was observed drinking milk from a sippy cup while walking around in the infants area.
Plan of Correction: All caregivers have been reminded that children must be seated while eating or drinking. During snack and meal times, a designated eating space is now reinforced, and children are encouraged to sit until finished. We have posted clear visual reminders in the infant and toddler rooms to support this practice.
Standard 8VAC20-820-120-E-3
Certain documents related to the terms of the license are required to be posted on the premises of each facility.

The Notice of Intent received by the provider on April 8, 2025 was not posted.
Plan of Correction: The Notice of Intent has now been immediately posted in a clearly visible location near the main entrance, alongside other licensing documents. All future correspondence or required postings will be reviewed and displayed promptly. A checklist of required postings is now in use to ensure ongoing compliance.