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Gita Kumar
5642 Powers Lane
Centreville, VA 20120
(703) 266-0223

Current Inspector: Nancy Radcliffe

Inspection Date: April 27, 2017

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 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced full renewal inspection was conducted today. The provider and one assistant caregiver were caring for 8 children, totaling 19 points. The children were observed singing songs and dancing, practicing their handwriting skills, and engaging in creative play. The children were to be served chicken soup with broccoli and peas, wheat bread, and milk for lunch later today. This inspection was completed between approximately 9:30 am and 11:40 am. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on a review of the emergency preparedness plan, it was determined the provider did not conduct a review of this plan as required. Evidence: The provider did not conduct an annual review of the emergency preparedness plan.

Plan of Correction: I will do the review with my assistant this weekend.

Standard #: 22VAC40-111-830-B
Description: Based on a review of emergency drills, it was determined the provider did not conduct at least 2 shelter-in-place drills during the past year. Evidence: There is no documentation showing that the provider conducted shelter-in-place drills during the past year.

Plan of Correction: I will document the two drills this year.

Standard #: 22VAC40-111-60-B
Description: Based on a review of children's records, it was determined that five records were not complete. Evidence: 1. Child record #1-#5 do not include documentation showing that the provider viewed each child's original birth certificate. 2. Child record #1 does not include: a signed "Liability Insurance" document; a signed "Medication Policy" document. 3. Child record #4 does not include: the mother's work phone number; the parent's signature on the enrollment registration form. 4. Child record #5 does not include documentation of the parent's annual review of the child's contact information.

Plan of Correction: All parents will be asked for the missing information.

Standard #: 22VAC40-111-180-A
Description: Based on a review of caregiver health records, it was determined that one repeat TB Health Screening has expired. Evidence: The provider's TB Health Screening expired on 4/17/17.

Plan of Correction: I will get a repeat Health Screening completed.

Standard #: 22VAC40-111-240-A
Description: Based on observations, it was determined that one area of the home has not been maintained as required. Evidence: On the floor next to the children's toilet, the provider has stored a wet towel that they use to wipe the bathroom floor.

Plan of Correction: The towel will be moved and stored somewhere else out of the reach of the children.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on a review of caregiver background checks, it was determined that two repeat background checks have expired. Evidence: 1. The provider's Sworn Disclosure Statement expired on 6/12/16. 2. The Criminal Record Check for one assistant caregiver expired on 8/29/14.

Plan of Correction: Both background check forms will be completed 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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