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Jeewani Kurukulasuriya
4636 Guinea Road
Fairfax, VA 22032
(571) 315-4969

Current Inspector: Leslie Perez (703) 537-6013

Inspection Date: Aug. 25, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1 Provider must be MAT certified to administer prescription medication.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review and a virtual tour of the program.

A monitoring inspection was initiated on 8/26/2021 and concluded on 8/26/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 11 children present, ranging in ages from 6 months to 3 years, with 3 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, 4 household member's records and 3 staff 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.

If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@doe.virginia.gov

Violations:
Standard #: 22VAC40-191-40-D-5-a
Description: Based on record review and interview, the family day home did not obtain a child protective services central registry check within 30 days of a 14 year-old beginning to reside in the home or a person in the home becoming 14 years old.

Evidence:
Household member#2's record does not contain child protective services central registry check results.

Plan of Correction: I mailed the documents on 8/26/2021.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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