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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: May 22, 2015

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
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
22VAC40-80 THE LICENSE.
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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Consult provided on the weekly menu, children drinking while walking around and cleaning and sanitizing. Keep an eye on the changing pad for any wear: any rips or tears in the nonabsorbent cover will cause the changing pad to be absorbent and unable to be properly cleaned and sanitized.

Comments:
An unannounced monitoring inspection was conducted with the provider beginning at 10:45 a.m. and ending at 1:00 p.m. There were three children in care ranging in age from nine months to three years for a total nine points. Children were observed having free play with their choice of toys. An infant was observed being held, in an infant play area and being fed a bottle. Diapering procedures were observed. Children were observed cleaning up before lunch time. Two children's records and one provider record were reviewed. Emergency drills were up to date. The weekly menu was reviewed. If you have questions regarding this inspection, contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-920
Description: Based on review of the weekly menu, it was not complete for the one week period of 5/19-5/22/2015.

Plan of Correction: I will complete the weekly menu for a one week period.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records and interview with the provider, it was determined that not all children in care had a complete record. Evidence: Child A, enrolled 5/21/2015, did not have a record.

Plan of Correction: I have given the information to the parent. I will get it from her today.

Standard #: 22VAC40-111-70-A
Description: Based on review of children's records and interview with the provider, not all parents were provided with required information prior to their child's first day of attendance. Evidence: Child A, first day of attendance 5/21/2015, did not have documentation of written information including hours of operation, fees, check in and check out procedures, proof of liability insurance, policies for medication administration and provisions of the emergency preparedness plan.

Plan of Correction: The information was provided to the parents, but not returned.

Standard #: 22VAC40-111-90-A
Description: Based on review of children's records and interview with the provider, the provider failed to obtain documentation of immunizations prior to a child's first day of attendance. Evidence: Child A, enrolled 5/21/2015, did not have documentation of immunizations.

Plan of Correction: I have requested this information from the parent.

Standard #: 22VAC40-111-90-C
Description: Based on review of two children's records, the provider failed to obtain updated immunizations, once every six months for children under the age of two years. Evidence: Child B's, date of birth 8/29/2014, last documented immunizations were dated 10/29/2014.

Plan of Correction: Child B has an appointment for next week and I will get the updated immunizations from the parent.

Standard #: 22VAC40-111-320-B
Description: Based on observation, not all unused electrical outlets accessible to children under the age of five had child-resistant protective covers. Evidence: Two outlets in the room with the infant crib and toys did not have child-resistant protective covers.

Plan of Correction: This was corrected during the inspection.

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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