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Jayanthi Samarasekara
14725 Calvary Place
Centreville, VA 20121
(571) 565-1686

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

Inspection Date: Dec. 16, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
20 Access to minor?s records
22.1 Background Checks Code; carbon monoxide detectors

Technical Assistance:
Discussion on available online training at: https://www.earlychildhoodwebinars.com/

Provider has obtained a carbon monoxide detector for the Family Day Home.

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

This inspection was initiated and concluded on 12/16/2021. The Provider was contacted and a virtual inspection was conducted. There were 8 children present, ranging from infant to preschool age (20 points), with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; special care and emergencies; and nutrition. A total of 8 children records, 2 household records, and 2 staff records were reviewed.

Information gathered during the inspection determined that there were (3) non-compliances with applicable standards, and code. These violations were documented on the Violation Notice issued to the program.

If you should have any questions, please call or send an email to charlie.perkins@doe.virginia.gov. Thank you.

Charlie Perkins,
Licensing Inspector
(703) 309-3963

Violations:
Standard #: 8VAC20-770-40-D-1-c
Description: Based on review, 2 of 2 staff files and 1 of 2 household files, indicated that a search of the central registry finding (CPS check) was older than 5 years.

Evidence -
1. On the date of inspection (12/16/2021), the following CPS checks were observed: Staff #1 (dated - 09/18/2016), Staff #2 (dated - 09/18/2016), and Household Member #1 (dated - 09/18/2016).
2. This observation was confirmed on the date of inspection by the Provider.

Plan of Correction: New requests will be submitted.

Standard #: 8VAC20-800-800-B
Description: Based on observation, the Provider did not document in writing each review of the emergency preparedness and response plan (EP&RP).

Evidence -
1. On the date of inspection (12/16/2021), the last documented review of the EP&RP was dated - 11/29/2018.
2. The EP&RP was posted on the parent bulletin board located to the right of the front door to the home.

Plan of Correction: I will review for this year and document on form.

Standard #: 8VAC20-800-90-C
Description: Based on review, 1 of 8 children's files indicated that the Family Day Home (FDH) did not obtain documentation of additional immunizations for a child (who was not exempt from the immunization requirements according to subsection B of this section) once every six months for a child under the age of two years.

Evidence -
1. On the date of inspection (12/16/2021), updated immunization documentation was not available for review for Child #3.
2. The most current immunization documentation for Child #3 on file at the FDH was dated - 01/25/2021.
3. It was confirmed on the date of inspection that Child #3 was under to years of age.

Plan of Correction: An updated immunization page will be obtained from the child's parent.

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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