VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sellapperumage Shaw
1004 N. Roosevelt Street
Falls church, VA 22046
(703) 447-6917

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: July 19, 2021

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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone/email contacts, documents review, interviews and a tour of the program. A renewal inspection was initiated on 7/19 and concluded on 7/28. The Provider was contacted by email and a virtual inspection was conducted. There were 4 children present, ranging in ages from 9 months to 2 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and 2 caregiver/household member records were reviewed. 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. Should you have any questions, please contact me at mary.wizbicki@doe.virginia.gov.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on file review, 1 out of 2 children's records did not have all required information. Evidence 1. Child #2 did not have the name and policy number of the child's health insurance.
Plan of Correction:	The Provider obtained this information from the parent.