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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: April 26, 2016

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
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 HEARINGS PROCEDURES.
63.2 General Provisions.
63.2 Child Abuse and Neglect
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:
Discussion and consult regarding behavioral guidance

Comments:
An unannounced monitoring inspection was conducted beginning at 8:55 a.m. and ending at 10:30 a.m. with the provider. There were four children in care ranging in age from twenty months to five years old for a total of eight points. Children were observed having free play. After free play, children were served breakfast: choice of honey nut cheerios or regular cheerios, milk, oranges and water. After breakfast, children watched an age appropriate television program and had free play. After television time, children had a lesson about the alphabet. Four children's records and one provider record were reviewed. Emergency drills were up to date. The provider is not Medication Administration Training (MAT) certified and cannot provide medications to children in care. If you have questions regarding this inspection, contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of documentation, there were no documentation of physicals for two children in care. Evidence: Child A, enrolled 9/4/2012 and Child B, enrolled 11/17/2014 did not have documentation of physicals in the file.

Plan of Correction: This documentation was in the file prior to today's inspection, I provided the information to the parents and didn't get it back. I will get the documentation and put it back in the file.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider failed to ensure that all children washed their hands before eating. Evidence: Three children were observed having breakfast and did not wash their hands.

Plan of Correction: Corrected during the inspection. Children will wash their hands before eating.

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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