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Umavathy Giridhar
1101 Wintrol Court
Herndon, VA 20170
(703) 870-7250

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Aug. 17, 2023

Complaint Related: No

Areas Reviewed:
8 VAC 20-800 Administration
8 VAC 20-800 Personnel
8 VAC 20-800 Household Members
8 VAC 20-800 Physical Health of Caregivers and Household members
8 VAC 20-800 Caregiver Training
8 VAC 20-800 Physical Equipment and Environment
8 VAC 20-800 Care of Children
8 VAC 20-800 Preventing the Spread of Disease
8 VAC 20-800 Emergencies
8 VAC 20-800 Nutrition
8 VAC2 0-820 THE LICENSE
8 VAC 20-820 THE LICENSING PROCESS
8 VAC 20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child abuse and neglect

Technical Assistance:
The Central Criminal Records Exchange was called to follow-up on the FPCs for HM #1. It was confirmed that this finding was emailed to the Provider on 03/07/23. An additional copy of this finding was sent again today (08/17/23) to the Provider.

Discussion that Child #3 is still within the grace period (30 days from their start date) for obtaining the documentation of their physical examination.

Comments:
This monitoring inspection was initiated by licensing staff and concluded on 08/17/2023, between the hours of 9:30 am to 11 am. There were 3 children present (8 points), ranging from infant to preschool-age, with 1 caregiver 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 3 children records, 1 household record, and 1 staff record was reviewed.

Information gathered during the inspection determined that there was (1) non-compliance with an applicable code. This violation was documented on the Violation Notice issued to the home.

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 #: 8VAC20-800-60-B
Description: (Code of Virginia 22.1-289.050)
Based on review, 3 of 3 children files indicated that a Liability Notice Declaration form was not available.

Evidence -
1. On the date of inspection (08/17/2023), a completed and signed Liability Notice Declaration form was not available for: Child #1 (start date - 02/28/22); Child #2 (start date - 12/15/22); Child #3 (start date - 07/23/23).
2. Each form while on file with the child's name, were left blank; not signed or completed by each child's parent.

Plan of Correction: Will obtain from each parent and place on file once completed and signed.

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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