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Sailaja Sistla
24288 Yellow Hammer Court
Aldie, VA 20105
(732) 354-4301

Current Inspector: Charles Perkins (703) 309-3963

Inspection Date: Sept. 21, 2017

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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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.

Technical Assistance:
Discussion was held on the topics of current enrollment, current staffing, changes to background checks with regards to expiration dates, new sworn disclosure statements, and (if needed) to obtain CPS checks from other states as listed from the past five years. Copies of the following forms were given to the Provider: Information for Parents, Policy for Administration of Medication, Record of Daily Attendance, General Permission for Regularly Scheduled Field Trips, Menu, and the Emergency Preparedness and Response Plan.

Comments:
The following inspection took place between the hours of 3 pm through 5 pm. Today, I met with the Provider on site at the Family Day Home (FDH) located in Ashburn, Virginia. At the start of this announced initial inspection there were a total of 4 children (4 points) with 1 caregiver. A total of 4 children?s files and 4 staff/household member?s files were reviewed. The children were engaged in the following: drop off, homework time, movie time, snack, bathroom breaks, hand washing, electronics, and other organized activities. If you should have any future questions, please call. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review, not all of the required first aid supplies were contained within the Family Day Home (FDH) first aid kit. Evidence - 1. On the date of inspection (09/21/2017), tweezers were missing from the first aid kit. 2. The Provider confirmed this review on the date of inspection.

Plan of Correction: Tweezers shall be purchased and placed within the FDH first aid kit.

Standard #: 22VAC40-111-800-A
Description: Based on review, the Family Day Home (FDH) did not have a written Emergency Preparedness and Response Plan (EP&RP) completed. Evidence - 1. On the date of inspection (09/21/2017) the FDH did not have a written EP&RP in place. 2. This review was confirmed on the date of inspection by the Provider.

Plan of Correction: An EP&RP shall be completed for the FDH and posted on the parent bulletin board.

Standard #: 22VAC40-111-920
Description: Based on review and interview, the Family Day Home (FDH) did not have a posted menu for the current one-week period. Evidence - 1. On the date of inspection (09/25/2017), a menu was not posted for the FDH. 2. The Provider stated (during an interview conducted on the date of inspection) that the FDH only offers an afternoon snack for the school-age children in care. The Provider also stated that these snacks are sent in by the children's parents collectively.

Plan of Correction: A menu shall be posted.

Standard #: 22VAC40-111-980-A
Description: Based on observation, review, and interview, 4 of 4 children's files reviewed indicated that a general written permission was not obtained from the parent of each child for the Provider to take the child off the premises of the Family Day Home (FDH). Evidence - 1. On the date of inspection (09/25/2017), 4 children were observed exiting a vehicle owned by the Provider and entering the Family Day Home (FDH). 2. The Provider stated (during an interview conducted on the date of inspection) that she provides transportation to the children in care from school to the FDH. 3. On the date of inspection, the General written permission form was not available for review for the following children: Child #1, Child #2, Child #3, and Child #4.

Plan of Correction: Permission forms shall be obtained from the parents of all applicable children.

Standard #: 22VAC40-111-50-A
Description: Based on observation, the Family Day Home (FDH) did not keep a written record of children in attendance each day. Evidence - 1. On the date of inspection (09/21/2017), the FDH did not have a record of attendance. 2. This observation was confirmed on the date of inspection by the Provider.

Plan of Correction: The FDH shall start to keep a daily attendance.

Standard #: 22VAC40-111-60-B
Description: Based on review, 4 of 4 children's files reviewed indicated that not all of the required information was contained within each child's record. Evidence - 1. On the date of inspection (09/25/2017), the emergency contact's addresses for the following children were not available for review: Child #1, Child #2, and Child #4. 2. The first date of attendance for the following children were not available for review: Child #1, Child #2, Child #3, and Child #4. 3. The proof of the child's identity for the following children were not available for review: Child #1, Child #2, and Child #3. 4. The written authorization for emergency medical care (should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection to provision of medical treatment on religious or other grounds) was not available for the following child: Child #2.

Plan of Correction: All missing information shall be obtained for each applicable child.

Standard #: 22VAC40-111-70-B
Description: Based on review, 4 of 4 children's files reviewed indicated that the Provider did not obtain the parent's written acknowledgement of the receipt of all required information. Evidence - 1. On the date of inspection (09/21/2017), the Information for Parents form was not completed and signed by the parents of the following children: Child #1, Child #2, Child #3, and Child #4. 2. On the date of inspection, the Policies for the Administration of Medications form was not completed and signed by the parents of the following children: Child #1, Child #2, Child #3, and Child #4.

Plan of Correction: All missing information and forms shall be completed and signed for all applicable children.

Standard #: 22VAC40-111-280
Description: Based on observation, potentially poisonous substances, materials and supplies such as cleaning agents and disinfectants were not stored in an area inaccessible to children. Evidence - 1. On the date of inspection (09/25/2017), hazardous substances such as cleaning supplies and disinfectants were observed stored in a cabinet below the kitchen sink. This cabinet did not have a child proof lock installed securing all item enclosed. 2. On the date of inspection, there were 4 school age children in care who had access to this area of the Family Day Home (FDH).

Plan of Correction: A child proof lock shall be installed on this cabinet or all applicable items shall be located to an inaccessible area.

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. To find programs participating in Virginia Quality, click here.

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