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

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: Nov. 16, 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
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:
A monitoring inspection was initiated on 11/16/2022 and concluded on 11/16/2022. There were a total of 3 children (12 points) observed with 2 caregivers present. The children were engaged in the following: toy play, and songs. The home, 3 child records, 6 caregiver/household member records, evacuation drills, emergency supplies were inspected. 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. Please contact me if you have any questions at Margaret.allworth@doe.virginia.gov or 703-209-3521.

Violations:
Standard #: 8VAC20-800-830-C
Description: Based on a review of evacuation drills, the Provider has not conducted monthly fire evacuation drills.
Evidence: The Provider did not conduct a fire drill for the months of September and October 2022.

Plan of Correction: Fire drills will be conducted monthly and recorded on the form.

Standard #: 8VAC20-800-100-A
Description: Based on a review of children records, the Provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance.
Evidence: Child #3, first day of attendance 6/8/2022 does not have documentation of a physical examination.

Plan of Correction: The provider will ask the parents for a completed physical examination and file in the child's record.

Standard #: 8VAC20-800-60-B
Description: Based on a review of children records, the provider did not obtain the parents written authorization for emergency medical care should an emergency occur.
Evidence: Child # 's record1, date of first attendance 8/9/2022, was missing the written authorization from the parents for emergency medical care.

Plan of Correction: The parent will complete the emergency authorization for care.

Standard #: 8VAC20-800-90-A
Description: Based on a review of children records, the provider did not obtain documentation that the child has been adequately immunized before the child can attend the Family Day Home.
Evidence: The following children do not have a record of immunization record on file;
Child #2, date of first attendance 9/7/2021 (repeat violation)
Child #3, date of first attendance 6/8/2022

Plan of Correction: The provider will ask the parents for a copy of the immunization records for the children.

Standard #: 8VAC20-800-180-A
Description: Based on a review of caregiver and household records, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening.
Evidence: The following caregivers were missing their updated TB screening
Caregiver #1 TB dated 9/11/2020
Household #1 TB dated 9/8/2020
Household #2 TB dated 9/23/2020

Plan of Correction: All TB screening will be updated.

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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