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Neelam Rajpal
7037 Braddock Mews Place
Springfield, VA 22151
(703) 256-5542

Current Inspector: Kelly Patterson-Savittiere (703) 479-4746

Inspection Date: May 29, 2018

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
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:
An unannounced monitoring inspection was conducted today from approximately 9:40am-12:15pm. There were 5 children in care (13 points) directly supervised by 2 caregivers. A sample of 5 children?s and 2 caregiver's records were reviewed. The children were observed during diapering procedures, playing with toys, counting, and engaged with caregivers. Zero new caregivers have been hired since the last inspection. Areas of non-compliance are identified in this report. The exit interview was conducted with the provider. If you have any questions, contact Kimberly.Sawyer@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on record review, the provider did not review with the parent the emergency contact information to ensure the information is correct. Evidence: 4 of 5 records reviewed were not annually reviewed. 1) Child A - file was last reviewed 1/26/2017 2) Child B - file was last reviewed 1/26/2016 2) Child C - file was last reviewed 1/26/2017 4) Child D - file was last reviewed 1/26/2017

Plan of Correction: I will leave the files out parents will update today.

Standard #: 22VAC40-111-800-B
Description: Based on observation, the emergency plan was not reviewed at least annually. Evidence: The emergency plan was last reviewed 2010.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-120-B
Description: Based on record review and interview with cargivers, the file of the assistant was incomplete. Evidence: The provider and assistant stated that the assistant was hired June of 2017 and the following information was missing from the file. 1) documentation of orientation. 2) The hire date, and an emergency contact

Plan of Correction: She will finish it by the 31st.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records were incomplete. Evidence: 3 of 5 records reviewed were missing required information. 1) Child A was missing the addresses of 2 of 2 required emergency contacts. 2) Child B was missing the work phone numbers of both parents. 3) Child C was missing father's employment information.

Plan of Correction: I will keep the files out. Parents will update today.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the family day home did not obtain documentation of additional immunizations. Evidence: The documentation of the most recent immunization record for Child B was dated 12/18/2015.

Plan of Correction: I will get the form.

Standard #: 22VAC40-111-320-B
Description: Based on observation, unused outlets did not contain protective covers. Evidence: Two outlets located in the bathroom near the sink were not covered with protective covers.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-111-330-A
Description: Based on observation, the landline telephone is one that operates with electricity. Evidence: The landline telephone is a cordless phone which requires electricity to operate.

Plan of Correction: I will get the phone by this week.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diapering surface was not wiped after each use. Evidence: After diapering a child, Caregiver A had not wiped down the surface of the changing mat. Caregiver A was reminded to wipe the surface by licensing inspector after she initiated another diaper change.

Plan of Correction: I will tell her to wipe down the surface today.

Standard #: 22VAC40-111-690-E
Description: Based on observation, diapers were not disposed in a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: After changing the diaper of a child, Caregiver A disposed the diaper in a outside in the back yard. Multiple surfaces including the door knob and the top of another trash can were touched in the process of diaper disposal.

Plan of Correction: I will fix the foot operated trash can.

Standard #: 22VAC40-191-40-C-1-b
Description: Based on record review, a central registry search was not completed for a caregiver whom is involved in the day to day operations of the facility. Evidence: Caregiver A hired June/2017 did not have the results of a complete Central Registry Search on file. The Central Registry Search was initially conducted June 2017, it was sent back with a request of additional information. The additional information was not provided for the completion of the search.

Plan of Correction: I will give her the paper today and I will send you a copy.

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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