VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ms. Ritu Bastola
931 Fawn Lane
Culpeper, VA 22701
(540) 727-0117

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: Jan. 24, 2023

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 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted on-site January 24, 2023. The provider was available during the inspection. There were 7children present, ranging in ages from 6 months to 4 years, with 2 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 4 child records, 2 household member records and 2 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-800-100-A
Description:	Based on review of children?s records on January 24, 2023, the provider failed to obtain a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: The record of child #1, enrolled 5/4/22, contained documentation of a physical exam dated 8/24/22.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-120-B
Description:	Based on a review of caregiver records and interview on January 24, 2023, the provider failed to ensure to maintain a complete record for each caregiver as required. Evidence: 1. The record of caregiver #2, hired 12/1/21, did not contain documentation that two or more references as to the character and reputation, as well as, competency were checked prior to employment. The record of caregiver #2 did not contain documentation of orientation being complete. 2. The provider acknowledged the documents were not in the record of caregiver #2.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-70-B
Description:	Based on a review of documentation on January 24, 2023, the provider failed to ensure that parents were provided the required information for parents before the child's first day of attendance. Evidence: 1. The record of child #2, enrolled 12/26/22, contained documentation of the parent's written acknowledgement of receipt of information regarding the requirement for the family day home to notify the parent when the child becomes ill and the requirement for the parent to notify the family within 24 hours or the next business day after the child or any member of the immediate household has developed any reportable communicable disease that was dated 1/3/22. 2. The record of child #3, enrolled 3/22/21, contained documentation of the parent's written acknowledgement of receipt of information regarding the requirement for the family day home to notify the parent when the child becomes ill and the requirement for the parent to notify the family within 24 hours or the next business day after the child or any member of the immediate household has developed any reportable communicable disease that was dated 3/24/21. 3. The record of child #4, enrolled 6/5/22, did not contain documentation of the parent's written acknowledgement of receipt of information regarding the requirement for the family day home to notify the parent when the child becomes ill and the requirement for the parent to notify the family within 24 hours or the next business day after the child or any member of the immediate household has developed any reportable communicable disease.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-90-A
Description:	Based on a review of children's records on January 24, 2023, the provider failed to obtain documentation that a child had been adequately immunized before the child attended the family day home. Evidence: The record of child #3, enrolled 3/22/21, contained documentation of immunizations dated 4/12/21.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-800-170-A
Description:	Based on a review of records and interview on January 24, 2023, the provider failed to obtain from one adult household member prior to coming into contact with children a current Report of Tuberculosis (TB) Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: 1. The family day home was established on 8/11/05 and household member #1 has been a resident since that date. 2. The record for household member #1 did not contain documentation of an initial report of TB screening. 3. The provider confirmed the TB was not completed for household member #1.
Plan of Correction:	Not available online. Contact Inspector for more information.