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: Nov. 13, 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 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Facilities and Programs

Technical Assistance:

Inspector and provider discussed children's records, the schedule of the day and activities for the children.

Comments:

An unannounced monitoring inspection was conducted today from 10:00am-11:15am. There was 1 child (3 points) directly supervised by 1 staff. The home, 1 staff record, 2 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. The child was observed watching television. 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 #:	22VAC40-111-100-A
Description:	Based on two records reviewed, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1) Child 1 does not have documentation of a physical examination. (Child 1, start date 9/2019) 2) Child 2 does not have documentation of a physical examination. (Child 2, start date 8/2019)
Plan of Correction:	I will ask parents to provide me the physical from the doctor.
Standard #:	22VAC40-111-60-B
Description:	Based on two records reviewed, the provider did not ensure all children's records contained all required information. Evidence: 1) Child 1 is missing two parent work phone numbers, addresses for both emergency contacts and insurance policy number. 2) Child 2 is missing two parent work phone numbers, name, address and phone number of child's physician, and a second emergency contact's name, address and phone number.
Plan of Correction:	I will tell the parents to fill out the information.
Standard #:	22VAC40-111-70-A
Description:	Based on two records reviewed, the provider did not provide in writing all the required information to parents prior to the child's first day of attendance. 1) Child 1 is missing information regarding liability insurance, medication policy and the emergency preparedness plan. (Child 1, start date 9/2019)
Plan of Correction:	Today, I will give the information to the parents.
Standard #:	22VAC40-111-280
Description:	Based on observation, the provider did not ensure disinfectants were stored away in areas away from children. Evidence: Two containers of disinfecting wipes were placed on low tables accessible to children in the area were children were watching television.
Plan of Correction:	Disinfecting wipes were placed in an area away from children.
Standard #:	22VAC40-111-320-B
Description:	Based on observation, child resistant protective covers were not installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: Two unused outlets to the left of the couch did not have child-resistant protective covers installed. Four unused outlets on a surge protector placed on a table accessible to children did not have child-resistant protective covers installed.
Plan of Correction:	At the time of inspection, child resistant covers were placed into the unused outlets.