VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Reeta Devkota
25282 Boldness Court
Aldie, VA 20105
(202) 701-6995

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Oct. 30, 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 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:

As discussed fingerprint searches are not tranferrable from another place of employment.

Comments:

An unannounced Renewal inspection was conducted this date at the provider's new home. A total of 12 of children in care, with one additional child who is the provider's own child(26pts). Provider and assistant was on site along with a relative visiting of one of the children in care. The lower level of the home provides large spaces for the children to play. Ample toys, equipment and supplies were available and determined age appropriate for the children in care. Positive interaction between staff and children. The walls of the programming space was decorated with several holiday and fall decorations that were crafts completed by the children. A nice transition to the other large programming space was observed where the children were in circle time singing nursery rhymes and were entertained by the provider using hand puppets. Some children with shorter attention spans were observed playing independently. A total of 6 children's records and all staff and household records were reviewed. No medications at this time, and no children requiring cribs to nap at this time. All cribs were inspected. The previous violation from the July inspection was reviewed and corrective action verified. This inspection began at 10am and ended at 12:15pm. Thank you for your cooperation today. Please email me at: lisa.hudson@dss.virginia.gov with questions.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on review of child records, 4 out of 6 records were incomplete. Evidence: Child #1's record does not contain the health insurance policy number. The liability insurance declaration is not complete for Child #2's record and the parent acknowledgement was not signed for this same child. The medication policy in Child #3 and Child #6's record was not completed.
Plan of Correction:	I will complete all these forms with the parents.
Standard #:	22VAC40-111-90-C
Description:	Based on child record review, updated immunizations for one child was not obtained. Evidence: Child #1 is under the age of 2, the last documented immunizations on file was obtained in October 2017. Updated immunizations for children under the age of 2 must be obtained every six months.
Plan of Correction:	I will obtain these updated immunizations from the parent.
Standard #:	22VAC40-111-320-A
Description:	Based on observation of the home, one small appliance was not in use and remained plugged in. Evidence: A toaster oven in the kitchen located in the basement was not in use and remained plugged in.
Plan of Correction:	Toaster oven was unplugged immediately.