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Chandrika Karunarathna
41512 Arlington Oaks Drive
Aldie, VA 20105
(703) 722-2222

Current Inspector: Mary J. Wizbicki (703) 479-4707

Inspection Date: Dec. 8, 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 Emergencies
22VAC40-111 Nutrition
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:
Discussed the following with the Provider: - Point system regarding the supervision of children, number of assistants required. - Background checks for assistants, people who may reside in the house and volunteers.

Comments:
An unannounced monitoring inspection was initiated today at 3:15pm. The physical plant, 3 caregiver/household member files, 5 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected today. There were 7 children (plus the Provider's daughter), totaling 24 points, under the supervision of 2 caregivers. During the inspection, children were observed eating afternoon snack, enjoying free play, listening to music and dancing. The interactions between the children and caregivers were seen to be positive and constructive in nature. Today, the children were served chicken nuggets, cheese pizza, broccoli, cantaloupe, corn and milk. The Provider is currently certified in MAT (medication administration training). However, there are no children with any medication needs at this time. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observations, the posted menu did not reflect all of the items served to the children today for lunch. Evidence 1. The posted menu stated the following would be served to the children for lunch: baked chicken, bread w/ butter, potato, brussel sprouts and milk. The children were served chicken nuggets, cheese pizza, corn, broccoli, cantaloupe and milk.

Plan of Correction: The Provider will make sure to write in changes to the menu.

Standard #: 22VAC40-111-100-A
Description: Based on file review, 3 out of 5 children's records do not have physical examinations on file within 30 days after the first day of attendance. Evidence 1. Child #1 and #2 began care on 11/3/17 and do not have physicals on file. 2. Child #5 began care on 4/12/17 and does not have a physical on file.

Plan of Correction: The Provider will ask the parents for these.

Standard #: 22VAC40-111-120-B
Description: Based on file review, 1 caregiver does not have all required information on file. Evidence 1. Caregiver #3 does not have the following information on file: name address and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment.

Plan of Correction: The Provider will ask the caregiver for an emergency contact and will complete the reference checks.

Standard #: 22VAC40-111-60-B
Description: Based on file review, 2 out of 5 children's records do not have all required information. Evidence 1. Child #1 does not have the medical insurance policy number. 2. Child #4 does not have both parent's work addresses and the medical insurance policy number. 3. Child #5 does not have a second emergency contact in case the parents cannot be reached, medical insurance policy number, and doctor's address and phone number.

Plan of Correction: The Provider will ask the parents for this information.

Standard #: 22VAC40-111-90-C
Description: Based on file review, 1 out of 5 children's records does not have documentation of additional immunizations every six months up to the age of 2 years. Evidence 1. Child #5 is 4 years old. The most recent immunization record on file was completed when the child was 19 months old.

Plan of Correction: The Provider will ask the parents for this.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on file review, 1 out of 3 caregiver/household member files does not have a completed search of the central registry (SCR) before 30 days of employment at the facility ends. Evidence 1. Caregiver #3 began working at the FDH on 7/17/17. There is no SCR on file.

Plan of Correction: The Provider will submit this to be completed again.

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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