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Champa Kumar
22778 Oak Grove Road
Sterling, VA 20166
(703) 689-0049

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Sept. 8, 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 Medication Administration
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
54.1 Provider must be MAT certified to administer prescription medication
63.2 Child abuse and neglect

Technical Assistance:
Licensing Inspector (LI) will send a copy of the Assistant/Substitute Provider form to help Provider with documentation organization.

Comments:
This monitoring inspection was initiated by licensing staff and concluded on 09/08/2023, between the hours of 9 am to 10:30 am. There were 5 children present (13 points), ranging from infant to preschool-age, with 2 caregivers supervising. The inspector reviewed compliance in the areas of administration; physical plant; staffing and supervision; programming; medication (no meds on site today); special care and emergencies; and nutrition. A total of 5 children records, 1 adult household record, and 2 staff records were reviewed.

Information gathered during the inspection determined that there was (1) non-compliance with an applicable standard. 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 #: 8VAC20-800-120-B
Description: Based on review, 1 of 2 staff files indicated that not all of the required information was contained within each record.

Evidence -
1. On the date of inspection (09/08/2023), 1 of 2 references for Staff #2 was on file.
2. The emergency contact information for Staff #2 was not available for review.

Plan of Correction: Will obtain and place on file.

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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