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Dilani Weerasinghe
3012 Heritage Springs Ct.
Alexandria, VA 22306
(703) 310-4882

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: July 7, 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
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.

Comments:
An announced initial inspection was conducted today from 9:00am-9:45am. There were 2 children (5 points) directly supervised by the provider. The home, the provider's record, 5 children?s records, 3 household member?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Erika Gibson at erika.gibson@dss.virginia.gov or 703-479-4686.

Violations:
Standard #: 22VAC40-111-920
Description: Based on provider statement, the menu for the current one-week period was not posted in the home. Evidence: Documentation of the current week's menu was not observed posted in the home. The provider stated that parents are verbally informed of the daily menu.

Plan of Correction: I will complete today.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination prior to a child's attendance or within 30 days after the first day of attendance. Evidence: Documentation of a physical examination was not observed documented for Child 1(enrolled March 21, 2016), Child 3 (enrolled August 23, 2013), Child 4(enrolled August 17, 2015) and Child 5(enrolled January 18, 2016).

Plan of Correction: I will ask today.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were incomplete. Evidence: 1. The father's work information was not observed documented for Child 1, Child 4, and Child 5. 2. The doctor's information was not observed documented for Child 1, Child 4 and Child 5. 3. A second emergency contact person was not observed documented for Child 3 and Child 4. 4. The medical insurance policy number was not observed documented for Child 1 and Child 2. 5. The parent's signed acknowledgement of the receipt of the Liability Insurance Declaration form was not observed documented for Child 1, Child 2, Child 3, Child 4 and Child 5. 6. The parent's signed acknowledgement of the receipt of the Policy for the Administration of Medication form was not observed documented for Child 2 and Child 3.

Plan of Correction: I will talk to the parents today.

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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