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

Current Inspector: Nancy Radcliffe

Inspection Date: Sept. 25, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Technical assistance was provider regarding the fingerprint procedure.

Comments:
An unannounced monitoring inspection was conducted today from 9:30am-1:00pm. There were 11 children (32 points) supervised by 2 direct caregivers. The home, programming, staff records, children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Diapering and hand washing procedures were also observed today. Children were observed engaging freely, singing, eating lunch and getting ready for nap. There was an abundance of books, toys, and materials, which were found to be developmentally appropriate for the children in care at the time of inspection. Positive interaction between children and care givers was observed. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, please contact Nancy Radcliffe at 703-268-3728 or nancy.radcliffe@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, topical skin products are not labeled properly. Evidence: Diaper ointment and lotions are not labeled with child's name.

Plan of Correction: I will label them today.

Standard #: 22VAC40-111-960-E
Description: Based on observation, not all bottles are labeled with name and date. Evidence: Bottles did not have dates, and 2 did not have a label with name and date.

Plan of Correction: I will make sure the names and dates are on the bottles.

Standard #: 22VAC40-111-960-G
Description: Based on observation, bottles are being heated in the microwave. Evidence: Bottles are being placed in the microwave to heat up before giving to the children.

Plan of Correction: I will not use the microwave to heat up the bottles.

Standard #: 22VAC40-111-120-A
Description: Based on caregiver record review, not all records are complete. Evidence: Caregiver #1 is missing documentation for one reference check, there is no documentation of education.

Plan of Correction: She just started, I will get the information and update the file.

Standard #: 22VAC40-111-60-A
Description: Based on children's record review, not all records are maintain up-to-date. Evidence: Child #1, is missing an updated immunization record, last update was 2/16/18. Child #2 is missing a annual update for their record, last update was 4/27/17

Plan of Correction: I will get the missing information from the parents.

Standard #: 22VAC40-111-250-A
Description: Based on observation, window blind cords are not out of reach of children under five years of age. Evidence: Window blind cords were hanging down and accessible to children.

Plan of Correction: I will tie up the cords today.

Standard #: 22VAC40-111-280
Description: Based on observation cleaning agents and disinfectants are accessible to children. Evidence: Potentially poisonous substances were located on the floor in an unlocked closet accessible to children.

Plan of Correction: Corrected on site.

Standard #: 22VAC40-111-290
Description: Based on observation, sharp kitchen utensils are not inaccessible to children. Evidence: The top drawers are not locked in the kitchen area, making sharp kitchen items accessible to children.

Plan of Correction: Items were moved and corrected on site.

Standard #: 22VAC40-111-320-B
Description: Based on observation, unused electrical outlets are not inaccessible to children. Evidence: Electrical outlets are not protected with covers and accessible to children.

Plan of Correction: I will make sure all outlets are covered.

Standard #: 22VAC40-111-430-A
Description: Based on observation, children under two years of age have access to stairs. Evidence: The door to the basement does not have a lock and accessible to children.

Plan of Correction: I will put a lock on the door.

Standard #: 22VAC40-111-430-B
Description: Based on observation, a pressure mounted gate is being used as a protective barrier at the stair opening. Evidence: The upstairs staircase has a pressure mounted gate to prevent the children from going upstairs.

Plan of Correction: I will get a new gate and install it.

Standard #: 22VAC40-111-530-G
Description: Based on observation, children under two years of age have access to pillows. Evidence: A pillow was located in a crib, for a child under the age of two.

Plan of Correction: Corrected on site.

Standard #: 22VAC40-111-540-A
Description: Based on observation, high chairs are not being used according to the instructions when occupied by a child. Evidence: During feeding times when the children are seated in the high chairs, the safety straps are not being used and securely fastened.

Plan of Correction: I will make sure we are strapping the children in when using the high chairs.

Standard #: 22VAC40-111-680-A
Description: Based on observation, caregivers did not wash their hands with liquid soap and warm running water. Evidence: Caregivers did not wash their hands before feeding the children and after a diaper change.

Plan of Correction: I will make sure we wash hands.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface is not being cleaned and sanitized after each use. Evidence: After a diaper change the surface was not cleaned and sanitized.

Plan of Correction: I will make sure we do it after each change.

Standard #: 63.2-1722-B
Description: Based on review of caregiver records, required background checks have not been completed. Evidence: Staff #1 does not have documenation of a Central Registry Background check or documentation for an eligible fingerprint check.

Plan of Correction: She just started, I will make sure the background checks are completed and will send to licensing inspector within 10 days.

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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