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

Current Inspector: Nancy Radcliffe

Inspection Date: March 22, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
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.
22VAC40-191 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 today from 9:30am-12:30pm. There were 9 children (22 points) supervised by 3 direct caregivers. The home, programming, staff records, children?s records, evacuation drills, and policies were inspected. There were no medications on site today. Children were observed during circle time, singing, learning about pineapples and tasting different flavors and eating lunch. Diapering procedures were also observed. 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. 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@dss.virginia.gov or call 703-268-3728.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, topical skin products were not labeled. Evidence: Topical skin products were located under the diaper changing table and were not labeled with child's name.

Plan of Correction: I will put their names on it.

Standard #: 22VAC40-111-780-B
Description: Based on review of 12 children's records, 7 are incomplete. Evidence: Children # 3,5,6,7,8,9 & 10 have not obtained documentation of parental review of emergency contacts.

Plan of Correction: I will have the parents review the information and sign it.

Standard #: 22VAC40-111-960-E
Description: Based on observation, not all bottles in the refrigerator are labeled with the child's full name and date. Evidence: Tall cups with nipples located in the refrigerator are not labeled with children's full name and date.

Plan of Correction: We will put the name and date on all bottles were they come in.

Standard #: 22VAC40-111-100-A
Description: Based on review of 12 children's records, 2 are missing a physical examination within 30 days of first day of attendance. Evidence: Children #1 & 4 do not have documentation of a physical within 30 days of first day of attendance.

Plan of Correction: I will get the physical and make sure to get them before the children's first day.

Standard #: 22VAC40-111-120-B
Description: Based on review of 2 staff records, 2 are incomplete. Staff #1 does not have documentation of emergency contacts, references checks before start date, and no age verification. Staff #2, does not have documentation of emergency contacts, references before state date, age verification and having an orientation.

Plan of Correction: They both started this month, I will get the missing information.

Standard #: 22VAC40-111-60-B
Description: Based on review of 12 children's records, not all records are complete. Evidence: Child #2 does not have documentation of parent receiving information on the emergency plan.

Plan of Correction: I will make sure the parent fills out the form.

Standard #: 22VAC40-111-90-C
Description: Based on review of 12 children's records, 1 is missing an updated immunization every 6 months for children under the age of 2. Evidence: Child # 3 is missing an updated immunization, last update was 2/23/18

Plan of Correction: I will contact the parent and get the updated form. I will come up with a system to track the updates.

Standard #: 22VAC40-111-250-A
Description: Based on observation, a hanging blind cord is not out of reach to children under five years of age. Evidence: In the sleeping room, a blind cord is hanging by a crib and is accessible to children. In the kitchen area, blind cords are hanging.

Plan of Correction: I will tie up the cords.

Standard #: 22VAC40-111-280
Description: Based on observation potentially poisonous substances are not locked up and inaccessible to children. Evidence: In the bathroom, supplies that warned "keep out of reach of children" were not locked up and accessible to children.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-290
Description: Based on observation, sharp items are accessible to children in unlocked kitchen drawers. Evidence: In unlocked kitchen drawers, scissors and knives were accessible to children.

Plan of Correction: I will move the sharp items.

Standard #: 22VAC40-111-320-B
Description: Based on observation, an electric outlet was accessible to children under the age of five. Evidence: An outlet on the kitchen island, was uncovered and accessible to children.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-320-H
Description: Based on observation, flammable materials were accessible to children. Evidence: A lighter was accessible to children, located in an unlocked kitchen drawer.

Plan of Correction: I will move the lighter and make sure it is inaccessible to children.

Standard #: 22VAC40-111-540-A
Description: Based on observation 3 children were placed in high chairs, 2 were not securely fastened in. Evidence: 2 children were not strapped in when placed in high chair.

Plan of Correction: I will make sure we use the straps all the time.

Standard #: 22VAC40-111-680-B
Description: Based on observation, caregiver did not wash children's hands after diapering. Evidence: After a diaper change, caregiver did not wash child's hands.

Plan of Correction: I will review the procedure with them again.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diaper changing surface is not being cleaned and sanitized. Evidence: The diaper changing surface was not sprayed with soap and water, wiped dry and then sprayed with a solution of bleach and water and allow to air dry.

Plan of Correction: We will follow the correct procedure.

Standard #: 63.2-1720.1-B-2
Description: Based on review of 2 staff records, 1 staff did not submit to fingerprinting. Evidence: Staff #1 has not submitted to fingerprinting.

Plan of Correction: She has an appointment on 3/25/19, I understand she cannot work until I have the results of an eligible fingerprint finding.

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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