VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Subhadra Parajuli
13133 Quail Creek Lane
Fairfax, VA 22033
(703) 222-0743

Current Inspector: Sheila F Nelson (804) 629-7489

Inspection Date: Feb. 28, 2020

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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

Licensing inspector had conversations with the provider on the following topics: - hand washing - appropriate clothing and accessories for outdoor play; the children were observed playing outside without shoes, socks or coats. - offering structured activities for the children. - an evacuation drill has not yet been practiced for the month of February; to day is the last day of the month. - if a parent requests that another biological parent not be permitted to pick up a child, court ordered documentation must be obtained.

Comments:

An unannounced monitoring/renewal inspection was conducted today between 11:10am and 1:35pm. There were 12 children present with the Provider and 1 assistant for a total of 27 points within the supervision guidelines. The children were observed playing freely indoors, outdoors and napping. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please e-mail me at whitney.mcgrath@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-900-B
Description:	Based on observation, children were allowed to drink while lying down. Evidence: Child #9 was observed drinking a bottle of milk while laying in their crib.
Plan of Correction:	I'll start feeding him outside of his crib.
Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider has not obtained documentation of a physical exam prior to a child's attendance or within 30 days after their first day of attendance. Evidence: Child #10 (date of enrollment: 8/6/2018) and Child #11 (date of enrollment: 3/5/2018) files do not contain documentation of a complete physical exam.
Plan of Correction:	I'll tell her today that I need the physicals.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records did not contain all required information. Evidence: 1. Child #2 file does not contain the families medical insurance information. 1. Child #1, Child #2, Child #10 and Child #12 files do not contain documentation of an annual review of emergency contact information.
Plan of Correction:	I'll have the parents do it today or Monday.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider has not obtained a subsequent tuberculosis (TB) screening every two years from the date of the first screening for each caregiver. Evidence: 1. Caregiver #1 most recent documented TB screening is dated 1/15/2017. 2. Caregiver #2 most recent documented TB screening is dated 1/12/2017.
Plan of Correction:	We did it but I can't find the results. I'll contact the doctors office to see if they can't the results again for us.
Standard #:	22VAC40-111-250-A
Description:	Based on observation, ropes were not out of reach of children under the age of five. Evidence: The provider currently has two ropes suspended from a closet shelf, wrapping around a gate that holds toys into a closet. The children were observed using the rope to pull themselves up over the gate and playing in the closet full of toys.
Plan of Correction:	I'll remove the ropes today.