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Durga Adhikari KC
42692 Sandman Terrace
Chantilly, VA 20152
(703) 327-8366

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: Oct. 27, 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
22VAC40-80 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

Technical Assistance:
During the inspection, licensing representative discussed with Provider annual staff training requirements. Licensing representative also provided Provider link to obtain model form to track potential substitute provider's hours annually.

Comments:
A renewal inspection was conducted today from 12:00pm-2:00pm. There were 6 children (14 points) directly supervised by 2 staff. The home, 2 staff records, children's records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed napping and bottle feeding. 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 questions regarding this inspection, please contact the Licensing Inspector at kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, topical skin products did not meet the stated requirements. Evidence: 4 diaper ointments and 1 body cream were not labeled with the children's names.

Plan of Correction: I did put Kids name on it [sic]

Standard #: 22VAC40-111-800-B
Description: Based on record review, the provider did not update the emergency plan at least annually. Evidence: The emergency plan has not been updated since licensure in June 2016.

Plan of Correction: Today October 24th i updated emergency plan [sic]

Standard #: 22VAC40-111-830-B
Description: Based on review of emergency response drills, not shelter-in-place drills have been practiced. Evidence: There was no documentation of shelter-in-place drills practiced since August 2016.

Plan of Correction: In future i will practice on time

Standard #: 22VAC40-111-60-B
Description: Based on a review of records, 1 children's record was not complete. Evidence: The record for Child #1 was not updated annually.

Plan of Correction: I did talk to Parents to summit Kids annual record [sic]

Standard #: 22VAC40-111-90-C
Description: Based on record review, not all children had a record of updated immunizations for children under two years of age. Evidence: 1. Child 2 (DOB 6/15/15) has the most recent immunizations dated 11/10/2016. 2. Child # (DOB 5/23/14) has the most recent immunization update dated 8/24/15.

Plan of Correction: I talked to Parens for submit immunization records .

Standard #: 22VAC40-111-170-A
Description: Based on a review of records, not all household members had a Report of Tuberculosis Screening form on file. Evidence: Household Member #3 [who also reported being a volunteer] was missing TB results.

Plan of Correction: I will make appointment with doctor for Her [sic]

Standard #: 22VAC40-111-200-A
Description: Based on review of caregiver records, 1 caregiver was missing documentation of the required training. Evidence: Caregiver #2 was missing documentation of orientation training.

Plan of Correction: she will take Traning with in week Today October 24th i gave orientation class to my assistant [sic]

Standard #: 22VAC40-111-280
Description: Based on observation, potentially poisonous substances were not stored inaccessible to children. Evidence: 1. A bottle of hand sanitizer was observed in a hanging door storage accessible to children. 2. A can of disinfectant spray was observed in an unlocked lower cabinet in the children's area.

Plan of Correction: I already removed sanitizer from the kids hanging door I already removed the disinfect spray from cabinet

Standard #: 22VAC40-111-530-F
Description: Based on observation, soft bedding was observed in a crib with an infant. Evidence: An 11 month old infant was observed in a crib with two plush blankets wrapped around them and a third blanket used as a pillow underneath their head.

Plan of Correction: I will never use blanket for infants

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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