VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Raj Sinsunwal
4121 Bruning Ct
Fairfax, VA 22032
(571) 277-6508

Current Inspector: Leah Pagala (703) 537-6757

Inspection Date: May 22, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-111 Administration 22VAC40-111 Personnel 22VAC40-111 Household Members 22VAC40-111 Physical Health of Caregivers and Household Members 22VAC40-111 Caregiver Training 22VAC40-111 Physical Environment and Equipment 22VAC40-111 Care of Children 22VAC40-111 Preventing the Spread of Disease 22VAC40-111 Medication Administration 22VAC40-111 Emergencies 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Inspector provider guidance regarding children's records, emergency drills, attendance, menu, and policies and procedures.

Comments:

An unannounced renewal inspection was conducted today from 10:30am-12:00pm. There was 1 child (1 pt) directly supervised by 2 staff. The home, 2 staff records, 2 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely. There was a supply of books, toys, and materials for the children. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-830-A
Description:	Based on record review, the provider did not practice emergency evacuation procedures monthly. Evidence: Drills were not documented from November 2018 - April 2019. Upon interview, the provider stated drills have not been conducted since November 2018.
Plan of Correction:	We have done our drill for May 2019 today. We will do drills every month on wards.
Standard #:	22VAC40-111-50-A
Description:	Based on record review, the provider did not maintain a written record of children in attendance each day. Evidence: The provider did not have record of attendance in the family day home.
Plan of Correction:	I will write attendance down on an attendance sheet for each day.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, the provider did not maintain all required information in the record. Evidence: 1) Child 2's record is missing a medical insurance policy number. 2) Child 1 and 2 are missing written authorization for emergency medical care should an emergency occur.
Plan of Correction:	We will get the information from the parents and have them sign the documents today.
Standard #:	22VAC40-111-70-A
Description:	Based on record review, the provider did not provide all required information in writing prior to the child's first day of attendance. Evidence: 1) Child 1 is missing information regarding liability insurance. (Child 1, Date of Enrollment: 4/13/19) 2) Child 2 is missing information regarding the medication policy. (Child 2, DOE: 12/2018)
Plan of Correction:	We will give parents and have them sign the information today.
Standard #:	22VAC40-111-80-A
Description:	Based on record review, the provider did not obtain documentation of viewing the child's proof of age and identity within 7 business days of the child's first day of attendance. Evidence: Child 1 and Child 2 do not have documentation of viewing the children's proof of age and identity within 7 business days of the their first day of attendance. (Child 1, Date of Enrollment: 4/13/19; Child 2, DOE: 12/2018)
Plan of Correction:	We will ask parents to bring in documentation when they bring in their child next.