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Ms. Kamala Siwakoti
13013 Tyree Way
Bristow, VA 20136
(703) 369-2401

Current Inspector: Shawanda M Henderson (540) 216-1434

Inspection Date: Dec. 19, 2014

Complaint Related: No

Areas Reviewed:
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Consult provided regarding non-prescription medications and time out.

Comments:
An unannounced monitoring inspection was conducted beginning at 8:50 a.m. and ending at 11:00 a.m. with the provider. There were three children in care, ranging in age from three months to three years old. Children were observed having free play, coloring Christmas pictures and painting. An infant was observed being fed. Three children's records and one provider file was reviewed. The first aid kit and emergency drills were reviewed. The weekly menu was reviewed. The provider is not Medication Administration Training (MAT) certified and cannot administer medications to children in care. If you have questions regarding this inspection, contact Stephanie Reed at (540) 347-6255 or S.Reed@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on review of emergency drills, documentation was not complete. Evidence: There was no drill documented for November 2014.

Plan of Correction: I forgot to document the drill. We practiced our emergency drill in November. I have updated the record during the inspection.

Standard #: 22VAC40-111-920
Description: Based on observation, the weekly menu was not complete. Evidence: The menu for 12/15-12/19 was not complete.

Plan of Correction: The weekly menu will be completed as required.

Standard #: 22VAC40-111-240-A
Description: Based on observation, not all equipment was in safe, operable condition. Evidence: The little tikes playhouse has a broken area above the hinge that creates a potential pinching hazard. The orange little tikes picnic table has two cracked benches that create a pinching hazard.

Plan of Correction: Both items will be removed from the daycare area. The picnic table was removed during the inspection.

Standard #: 22VAC40-111-320-H
Description: Based on observation, not all flammable materials were inaccessible to children. Evidence: There was a lit candle on the island in the kitchen. Children were observed accessing different items from the island.

Plan of Correction: Candles will not be in an area accessible to children.

Standard #: 22VAC40-111-560-A
Description: Based on observation, the provider did not provide direct supervision of the children at all times, including being near enough to intervene if needed. Evidence: Child B, age three, turned the gas stove on in the kitchen. After the stove had been turned on, the provider redirected the child.

Plan of Correction: Children are closely monitored. We were only upstairs because licensing was here. Children do not normally play upstairs. When they are upstairs they are either seated at the table in their chairs or at the table to eat their meals or snacks. The cover will be put back on the stove.

Standard #: 22VAC40-111-680-B
Description: Based on observation, not all children's hands were washed as required. Evidence: Child A was observed wiping her nose and did not wash her hands afterward. Child B was served a cup and did not wash his hands.

Plan of Correction: All children will wash their hands as required.

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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