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

Current Inspector: Nancy Radcliffe

Inspection Date: Feb. 26, 2018

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.
22VAC40-80 THE LICENSING PROCESS.
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:
Discussion was held on the topics of current enrollment, current staffing, and a review of changes to background checks with regards to expiration dates, new fingerprint checks to be done through Fieldprint of Virginia & Office of Background Investigations (OBI), new sworn disclosure statements, and to obtain CPS checks from other states as listed from the past five years. The roll out for the new fingerprint checks occurred on January 22, 2018. All finger print checks for existing employees and board officers must be started for each according to the established time table and then completed by September 30, 2018. New employees will not be allowed to start until an ?Eligibility Letter? is on file.

Comments:
The following inspection took place between the hours of 11 am through 2 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Centreville, Virginia. At the start of this unannounced renewal inspection there were a total of 6 children (15 points) with 2 caregivers. A total of 6 children?s files, 2 staff files were reviewed. The children were engaged in the following: lunch, learning activities, music, toy play, games, infant feeding, bathroom breaks, diapering, hand washing, nap time, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-111-120-A
Description: Based on review, 1 of 2 staff files reviewed indicated that not all of the required information was contained within each staff's record. Evidence - 1. On the date of inspection (02/26/2018), the emergency contact for Staff #2 was not available for review. 2. Staff #2 was on site during today's inspection.

Plan of Correction: An assistant information form shall be completed for Staff #2.

Standard #: 22VAC40-111-60-B
Description: Based on review, 2 of 6 children's files reviewed indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (02/26/2018), 1 of 2 complete emergency contact information was listed for Child #5, Child #6. 2. The start date for both Child #5 and Child #6 was listed as 02/26/2018. 3. Both children were observed in care today.

Plan of Correction: All missing information shall be obtained and placed in both applicable files.

Standard #: 22VAC40-111-70-A
Description: Based on review, 2 of 6 children's files reviewed indicated that not all of the required documentation was on file within each child's record. Evidence - 1. On the date of inspection (02/26/2018), the following documentation was not available for review for both Child #5, and Child #6: Information for Parent form, the Family Day Home Program Decision on the Administration of Medication form, and the Provisions of the Emergency Preparedness and Response Plan form. 2. The start date for both Child #5, and Child #6 was listed as 02/26/2018. 3. Both children were observed in care today.

Plan of Correction: All missing docuementation shall be obtained and placed in both applicable files.

Standard #: 22VAC40-111-90-A
Description: Based on review, 2 of 6 children's files reviewed indicated that before a child may attend the Family Day Home (FDH), the Provider did not obtain documentation that the each child has been adequately immunized (according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations). Evidence - 1. On the date of inspection (02/26/2018), an immunization page for Child #5, Child #6 was not available for review. 2. The start date for both Child #5 and Child #6 was listed as 02/26/2018. 3. Both children were observed in care today.

Plan of Correction: A current immunization page shall be obtained for both Child #5, and Child #6.

Standard #: 22VAC40-111-430-B
Description: Based on observation, there was one pressure mounted gate located at a stair opening. Evidence - 1. On the date of inspection (02/26/2018), a pressure mounted gate was observed at a stair opening on the main floor of the family day home. 2. This stair opening was located off of a play area that the children in care use. 3. On the date of inspection, there were 2 children in care (Child #5, and Child #6) who were under the age of 2 years in age.

Plan of Correction: The gate shall be replaced with a mounted gate.

Standard #: 63.2-1809.1-A
Description: Based on review, 2 of 6 children's files reviewed indicated that a Notice of Liability form was not on file within the Family Day Home (FDH) to include a parent's signature and date to verify that this information was furnished. Evidence - 1. On the date of inspection (02/26/2018), the Notice of Liability page was not available for review for Child #5, Child #6. 2. The start date for both Child #5 and Child #6 was listed as 02/26/2018. 3. Both children were observed in care today.

Plan of Correction: The Notice of Liability for both children shall be obtained and placed in each applicable file.

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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