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Ms. Kamala Siwakoti
13013 Tyree Way
Bristow, VA 20136
(703) 369-2401

Current Inspector: Shawanda M Henderson (540) 216-1434

Inspection Date: Dec. 4, 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
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Comments:
An unannounced renewal inspection was conducted with the provider beginning at 7:15 AM and ending at 8:50 AM. There were initially two children in care but three more arrived during the inspection. The children were ages 12 months, 16 months, 2, 3, and 3 years old for a total of 13 points. The children were observed playing with blocks and cars. The infant was observed playing with large manipulatives. The children were also observed being read a story by the provider. The provider's record and five children's records were reviewed and in compliance. The provider's training hours were reviewed and in compliance. The first aid kit, flashlight, and weather-band radio were observed and in compliance. There were no medications on site. The most recent emergency escape drill was documented as 11/2/18. The most recent shelter-in-place drill was documented as 6/12/18. The provider is not Medication Administration Training (MAT) certified and cannot administer prescription medications to children in care. The provider has a current certification in CPR and first aid from the American Heart Association. For any questions regarding this inspection, contact Shawanda Henderson at 540-216-1434 or S.Henderson@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-50-A
Description: Based on review of the attendance record, the provider did not ensure all children were included on the written attendance record. Evidence: There were four children present but none marked present on the attendance sheet.

Plan of Correction: The provider updated the attendance sheet during the inspection and stated that she would sign all children in as they arrive.

Standard #: 22VAC40-111-280
Description: Based on observation, the provider did not ensure that all cleaning agents were stored away from food and in an area inaccessible to children. Evidence: There was a container of Clorox wipes on the dining table which had fruit and water stored on it and accessible to the children.

Plan of Correction: The provider stated that she had used the Clorox wipes to clean the area yesterday evening and forgot to put them away. The wipe removed from the table during the inspection and stored in a locked cabinet.

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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