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Duminda Athapaththu
2921 Sayre Road
Fairfax, VA 22031
(703) 407-4888

Current Inspector: Kara Wright (703) 537-6241

Inspection Date: Dec. 7, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
**Discussed with provider that his contract should include all information required and which can be found on the VDSS website in the "Information for Parents" document.

Comments:
An unannounced monitoring inspection was conducted today from 10:30am-12:05pm. There were 10 children (27 points) directly supervised by the provider and 2 staff. The home, 3 staff records, 6 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today in accordance with the provider's policy. Children were observed playing freely and being helped using the restroom. There was an abundant supply of books, toys, and materials for the children. The home was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, not all topical ointments are labeled with the child's name. Evidence: One of two topical ointments were observed without a label indicating the owner.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-830-A
Description: Based on record review, evacuation drills were not practiced monthly. Evidence: There was no evacuation drill recorded for 9/2018.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-890
Description: Based on observation, not all food from home was labeled in a way to indicate the owner. Evidence: One lunchbox containing food brought from home was not labeled.

Plan of Correction: I will ask parents to label the lunch boxes.

Standard #: 22VAC40-111-960-E
Description: Based on observation, not all bottles were properly labeled. Evidence: One of four bottles observed did not contain the current date.

Plan of Correction: I will remind parents to label the bottles with the date.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the provider did not obtain updated immunizations once every six months for children under the age of two years. Evidence: 1. Child 2's last documented immunizations were received on 3/27/17. 2. Child 10's last documented immunizations were received on 3/2/18.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-130
Description: Based on observation and caregiver statement, not all staff were qualified. Evidence: Caregiver 2 did not respond to basic question posed and stated she could not speak English.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-240-A
Description: Based on observation, not all equipment used by children was maintained in a clean and operable condition. Evidence: One sleeping mat was observed with a ripped seam in the waterproof covering which exposed the foam interior. The rip prohibits the proper cleaning and sanitation of the mat when soiled.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-430-A
Description: Based on observation, children under two had access to stairs. Evidence: The gate blocking access to stairs cannot be latched and can be easily opened by a toddler.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-530-B
Description: Based on observation, not all cribs used by children had a tight fitting bottom sheet. Evidence: One of three cribs observed in the downstairs play room had a sheet designed for a larger mattress and fit very loosely creating an entanglement hazard.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-680-A
Description: Based on observation, caregivers hands were not washed with liquid soap and warm running water when required. Evidence: Caregiver 3 did not wash her hands in between helping potty training children use the restroom.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-680-B
Description: Based on observation, children's hands were not washed with liquid soap and warm running water when required. Evidence: Children's hands were not washed after using the restroom.

Plan of Correction: Not available online. Contact Inspector for more information.

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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