VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

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

Inspection Date: Sept. 20, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-800 Administration 8VAC20-800 Personnel 8VAC20-800 Household Members 8VAC20-800 Physical Health of Caregivers and Household members 8VAC20-800 Caregiver Training 8VAC20-800 Physical Equipment and Environment 8VAC20-800 Care of Children 8VAC20-800 Preventing the Spread of Disease 8VAC20-800 Medication Administration 8VAC20-800 Emergencies 8VAC20-800 Nutrition 8VAC20-800 Transportation 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect

Comments:

An unannounced monitoring inspection was conducted on September 20, 2022 between the hours of 9:05am and 10:45 am. There were 8 children present with two caregivers supervising. Children were observed playing in 3 rooms with various age-appropriate materials, having a snack, and outside play. There was positive interaction seen between the caregivers and the children. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, caregiver and child records, medication, emergency drill logs, special care, emergency procedures and nutrition. 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 questions regarding this inspection, please contact Sheila.nelson@doe.virginia.gov. Thank you for your cooperation today during the inspection. Sheila Nelson License Inspector Virginia Department of Education Office of Child Care Health and Safety Division of Early childhood Care and Education 804-629-7489

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, the provider did not have documentation of an updated central registry finding. Evidence: Central registry finding are good for 5 years. Caregiver #2 record contained a central registry finding that expired on 9/1/2021.
Plan of Correction:	I will submit a new central registry this week.
Standard #:	8VAC20-800-830-A
Description:	Based on record review and interview, emergency evacuation procedures were not practiced monthly with all caregivers and children in care. Evidence: 1. The last drill recorded was June 2022. 2. The provider acknowledged that emergency evacuation drills were done after June 2022.
Plan of Correction:	I will start doing the drills again each month.
Standard #:	8VAC20-800-50-A
Description:	Based on record review and interview with the provider, a written record of children in attendance was not maintained for each day. Evidence: 1. At the time of inspection (9/20/22) children were not written on the daily attendance sheet. 2. The provider acknowledged she had not kept a written attendance sheet since June 2022.
Plan of Correction:	I will start keeping my attendance like I used to do.
Standard #:	8VAC20-800-90-C
Description:	Based on record review, documentation of additional immunizations were not obtained every 6 months for children under the age of 2 years. Evidence: 1. Child #2 (DOB 7/20/19) did not have additional immunizations. Last update was 1/25/21. 2. Child #3 (DOB 6/14/19) did not have additional immunizations. Last update was 9/14/2020. 3. Child #5 (DOB 7/23/20) did not have additional immunizations. Last update was 11/15/21.
Plan of Correction:	I will tell the parents today I need the update immunization record.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider did not have documentation of a current Tuberculosis (TB) Screening or test as required every two years from the date of the first initial test or screening. Evidence: Caregiver #1 TB test result was dated 9/12/20 (expired on 9/12/22).
Plan of Correction:	I will make appointment this week.
Standard #:	8VAC20-800-280
Description:	Based on observation, potentially poisonous materials are accessible to children. Evidence: The cabinet under the kitchen sink has poisonous materials and cleaning supplies that are accessible to children.
Plan of Correction:	I will remove now and get a lock on the cabinet.
Standard #:	8VAC20-800-320-B
Description:	Based on observation, child-resistant protective covers were not installed on all unused electrical outlets accessible to children under 5 years of age. Evidence: 1. Electrical outlet behind crib accessible to child did not have protective cover. 2. Electrical outlet in the first play room did not have protective cover on it and was accessible to children. 3. Electrical outlet in the dining/living room did not have protective cover on it.
Plan of Correction:	I will cover all outlets. The provider corrected the violation during inspection.
Standard #:	8VAC20-800-430-A
Description:	Based on observation, children have access to stairs with three or more risers that do not have protective barriers or guardrails on each side. Evidence: 1. The stairs leading to the upstairs are accessible to all children (ages 1-4). 2. Stairs do not have a protective barrier.
Plan of Correction:	I will get a barrier/gate installed.
Standard #:	8VAC20-800-600-B
Description:	Based on observation, Infants and toddlers shall not spend more than 30 minutes of consecutive time during waking hours confined in a crib, play, pen, high chair or other confining piece of equipment. Evidence: Child #5 was confined to a highchair, crib, then a bouncer for 60 minutes.
Plan of Correction:	Not available online. Contact Inspector for more information.