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Ms. Ritu Bastola
931 Fawn Lane
Culpeper, VA 22701
(540) 727-0117

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: Feb. 6, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
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.
VENDHOM-000 Special Care Provisions & Emergencies

Comments:
Thank you for your assistance during this unannounced monitoring inspection. This on-site visit was conducted on February 6, 2018 from 11:30 a.m. through 3:30 p.m. Upon arrival, there were nine (9) children in the care of the provider and two (2) assistants with points totaling thirty-two (32). Five (5) children's and the records for the provider, one household member and three (3) assistants were reviewed and updated. No medication is being administered at this time. Areas of non-compliance may be found on the violation notice. Areas observed were: free choice activity, lunch, hand washing/diapering procedures and bathroom procedures and nap. Interactions between the staff and children were observed as positive and the children seem comfortable with the daily routine and schedule. Please contact me at (540) 430-9256 if you have any questions.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on record review, one child's record did not contain the physical address for two emergency contacts. Evidence: 1. Five children's records were reviewed. 2. Child #4 did not have documentation of a physical address for two emergency contacts. 3. The provider confirmed the physical addresses for Child #4 were not documented.

Plan of Correction: I will ask the parent to provide the physical address for the two emergency contacts.

Standard #: 22VAC40-111-680-B
Description: Based on observation, three children did not wash their hands after being diapered. Evidence: 1. Three children were observed during a diaper change. 2. Staff # 1 failed to wash the hands of all three children after being diapered. 3. Staff #1 confirmed she did not wash the children's hands after changing their diapers.

Plan of Correction: I will review all hand washing procedures will all of my staff.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering changing pad was torn and the inside padding was exposed. Evidence: 1. The diaper changing area was observed and inspected. 2. The nonabsorbent pad was torn and the inside padding was exposed. 3. The provider confirmed the diaper pad was torn. Based on observation, staff failed to clean and sanitized the diaper pad after changing three children's diapers. Evidence: 1. Diaper changing was observed for three children. 2. Staff #1 did not clean and sanitized the diaper pad after changing each child. Staff #1 did wipe the changing pad with a disposable wipe after changing each child. 3. Staff #1 confirmed she did not clean and sanitized the diaper changing pad.

Plan of Correction: I will purchase a new nonabsorbent diaper pad as soon as possible. Staff will be reminded that the changing table is to be cleaned and sanitized after changing every child.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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