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Sita Gathram
23257 Hanworth Street
Ashburn, VA 20148
(571) 523-8502

Current Inspector: Whitney Mcgrath (571) 835-4717

Inspection Date: Aug. 13, 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 Medication Administration
22VAC40-111 Nutrition
22VAC40-111 Transportation
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed topical cream vs. medication authorizations. Provider was reminded that they cannot administer any medications (OTC or prescription) without receiving MAT training.

Comments:
Today an unannounced Monitoring inspection took place between 12:10pm and 2:00pm. There were 5 children present with the provider for a total of 13 points within the supervision guidelines. The children were observed playing freely, using flashcards and interacting with the provider. A complete inspection of the physical plant, children and staff records, fire drill log, menu, attendance and emergency procedures were observed during this inspection. Thank you for your cooperation. If you have any questions, please email me at whitney.mcgrath@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, record review and interview, the provider did not obtain written parental authorization to to use an over-the-counter diaper cream. Evidence: During the inspection that is a diaper cream located under the sink in the children's bathroom. The provider stated that diaper cream is used for Child #1 who currently has a diaper rash. The child's file does not contain parental authorization to apply the diaper cream. The provider confirmed that the parents did not provide written permission.

Plan of Correction: Today I will have mom fill out the permission form.

Standard #: 22VAC40-111-900-B
Description: Based on observation, children were permitted to walk and run while drinking. Evidence: During the inspection, Child #1 was observed walking and running around the family day home with a sippy cup in their mouth for approximately five minutes. Child #3 was observed walking and socializing with the inspector while drinking from their sippy cup.

Plan of Correction: Next time I will do it.

Standard #: 22VAC40-111-980-A
Description: Based on record review and interview, the provider did not obtain written permission from each parent for the provider to take the children off the premises of the family day home. Evidence: When the inspector asked the provider about the children having outside play time, she stated does not use her backyard because it is not fenced, but she takes the children to the community playground that is located at the end of the street. 5 out of 5 children's records did not contain written permission from the parents for the children to leave the family day home. The provider confirmed that she did have not have the parents fill out a permission form.

Plan of Correction: Today I will get the permission forms to the parents to fill out.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical exam before or within a child's first 30 days of attendance. Evidence: Child #3 (first date of attendance: 3/30/18) file did not contain a physical exam.

Plan of Correction: I will request that from the parents today.

Standard #: 22VAC40-111-60-B
Description: Based on record review, children's records did not contain all required information. Evidence: Child #2 file did not contain complete street addresses for both emergency contacts. Child #3, Child #4 and Child #5 files did not contain the families medical insurance policy number.

Plan of Correction: I will ask all the parents to complete the papers today.

Standard #: 22VAC40-111-90-A
Description: Based on record review, the provider did not obtain documentation of immunizations before a child could attend the family day home or immunizations every six months for children under the age of two. Evidence: Child #2 file did not contain immunizations. Child #2 was present during today's inspection. Child #1 (19 months old) most recent immunization record is from when the child was 6 months old.

Plan of Correction: I'll request these from the parents today.

Standard #: 22VAC40-111-140-B-3
Description: Based on record review and interview, the provider does not have current cardiopulmonary resuscitation (CPR) training. Evidence: The provider's most recent CPR training certificate expired 6/28/2018. The provider has confirmed that she has not renewed her training.

Plan of Correction: I have an appointment for next week.

Standard #: 22VAC40-111-140-B-4
Description: Based on record review and interview, the provider does not have current first aid training. Evidence: The provider's most recent first aid training certificate expired 6/28/2018. The provider has confirmed that she has not renewed her training.

Plan of Correction: I have an appointment for next week.

Standard #: 22VAC40-111-170-A
Description: Based on record review and interview, the provider did not obtain a repeat Tuberculosis (TB) screening for each household member. Evidence: The provider and household member #1's TB screenings expired on 7/8/2018. The provider confirmed that she didn't know the forms had expired.

Plan of Correction: I will get that done next week.

Standard #: 22VAC40-111-340-C
Description: Based on observation, the children's bathroom did not contain all required supplies. Evidence: The bathroom did not contain paper towels.

Plan of Correction: I will get paper towels.

Standard #: 22VAC40-111-590-B
Description: Based on observation and interview, a child who fell asleep was not moved to a crib or mat. Evidence: During the inspection, a toddler who fell asleep in the provider's arms was laid to sleep in a bouncy chair. When asked if the child has a cot to sleep on by the inspector, the provider stated that the parents have requested that the child sleeps there and that they are comfortable in the bouncy chair.

Plan of Correction: I will move him to a mat.

Standard #: 22VAC40-111-680-B
Description: Based on observation, children's hands were not washed prior to eating. Evidence: Child #4 was observed eating their lunch. The child's hands were not washed prior to eating.

Plan of Correction: Every day I do it.

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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