Kalpana Madanapalli
2503 Monroe Street
Herndon, VA 20171
(703) 793-8762
Current Inspector: Charles Perkins (703) 309-3963
Inspection Date:
Complaint Related: No
- Violations:
-
Standard #: 22VAC40-111-170-A Description: Based on review and interview, 1 of 2 household member records indicated that the Provider did not obtain from each adult household member a current Report of Tuberculosis Screening (TB).
Evidence -
1. On the date of inspection (09/24/2021), TB documentation for Household Member #2 was not available for review.
2. The Provider stated (during an interview conducted on the date of inspection) that Household Member #2 is away and will not return until next week.
3. This requirement for Household Member #2 came into effect in mid August 2021.Plan of Correction: Household Member #2 shall schedule an appointment in order to obtain TB documentation. Once this documentation is received, it shall go on file at the Family Day Home (FDH).
Standard #: 22VAC40-111-180-A Description: Based on review, 1 of 2 household member records indicated that the Provider did not obtain an updated Report of Tuberculosis Screening (TB).
Evidence -
1. On the date of inspection (09/24/2021), TB documentation for Household Member #1 was dated - 04/12/2019.
2. This finding was confirmed by the Provider on the date of inspection.Plan of Correction: Household Member #1 has scheduled to get updated TB documentation on 10/13/2021. Once received, this documentation shall go on file within the Family Day Home (FDH).
Standard #: 22VAC40-191-40-D-4-a Description: Based on review, 1 of 2 Household Member records indicated that a Sworn Statement or Affirmation form (SDS) was not available.
Evidence -
1. On the date of inspection (09/24/2021), a SDS was not available for Household Member #2.
2. It was also determined that this documentation was not requested within 30 days prior (in mid July) of Household Member #2 becoming 18 years of age (in mid August).Plan of Correction: This documentation shall be completed and placed on file within the Family Day Home (FDH).
Standard #: 63.2-1721.1-B-2 Description: Based on review, 1 of 2 Household Member records indicated that a fingerprint check (FPC) from the Office of Background Investigations (OBI) was not available.
Evidence -
1. On the date of inspection (09/24/2021), a FPC was not available for Household Member #2.
2. It was also determined that this documentation was not requested within 30 days prior (in mid July) of Household Member #2 becoming 18 years of age (in mid August).Plan of Correction: Household Member #2 shall schedule an appointment with Fieldprint of Virginia in order to obtain this fingerprint check. Once this finding is received, it shall be shared and reviewed by the Licensing Inspection (LI).
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.
