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Ms. Ritu Bastola
931 Fawn Lane
Culpeper, VA 22701
(540) 727-0117

Current Inspector: Chrystal King (804) 297-4469

Inspection Date: July 20, 2015

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 LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
63.2 General Provisions.
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.

Comments:
Thank you for your time and assistance with the unannounced monitoring inspection conducted today, July 20, 2015. The on-site visit was from 11: 10 a.m. to 1:10 p.m. On this date, at the time of arrival, there were twelve (12) children in the care of the provider and one assistant for a total of twenty-four (24) points. There were four (4) children's records reviewed. The records for the provider and two assistants were reviewed and updated. Areas of non-compliance may be found on the violation notice. Risk assessment scores were discussed. No medication is being administered at this time. Some of the items observed and reviewed during the visit included: evacuation drills, first aid supplies, TV time, lunch prep, hand washing and bathroom procedures, lunch, free choice activities and movement. Interactions between the provider, assistants and the children were positive and the children seem comfortable with the daily routine and schedule. Please contact me if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 430-9256.

Violations:
Standard #: 22VAC40-111-100-A
Description: Child C did not have documentation of obtaining a physical within 30 days of attendance. First day of attendance was documented as 12/15/2014. Evidence: Based on record review and conversation with the provider it was confirmed Child C did not have documentation of obtaining a physical within 30 days of attendance.

Plan of Correction: The provider will request the parent provide documentation of a physical examination for Child C. In the future, all children will provide documentation of a physical within 30 days of attendance.

Standard #: 22VAC40-111-60-B
Description: Child A did not have documentation of parent's annual review of emergency contact information. Last documented review was 03/14/2014. Evidence: Based on record review and conversation with the provider it was confirmed Child A did not have documentation of annual review of emergency contact information.

Plan of Correction: The provider will request the parent review and update Child A's emergency contact information. In the future, annual updated will be completed.

Standard #: 22VAC40-111-90-A
Description: Child C did not have documentation of obtaining immunizations. First date of attendance was documented as 12/05/2014. Evidence: Based on record review and conversation with the provider it was determined Child C did not have documentation of obtaining immunizations.

Plan of Correction: The provider will request the parent provide documentation of Child C receiving immunizations. In the future, all children will provide documentation of immunizations by the first date of attendance.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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