VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dilani Weerasinghe
3012 Heritage Springs Ct.
Alexandria, VA 22306
(703) 310-4882

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: Dec. 3, 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 Emergencies 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

During the inspection, the licensing representative discussed with the provider: - increased water temperature in a bathroom designated for children's use - background and training requirements for potential assistants - updating emergency preparedness plan by 12/12/2018 - age appropriate materials for potentially younger children to be enrolled

Comments:

An unannounced renewal study was conducted today from 1:00pm-3:45pm. A total of 3 children [7 points] were present with 1 caregiver. Children were observed during transitions from naptime, handwashing, snack and while engaged in play with toys and manipulatives. Nurturing interactions were observed between children in care and provider. A sample of 5 children's records, 4 caregiver/household member records, emergency drills, emergency plan, emergency supplies, physical plant and other documents were reviewed. There were no medications on cite. Areas of non-compliance are documented on the violation notice. If you have any questions, please contact me at Ivaco.Clarke@dss.virginia.gov or 571-835-5505. Thank you for your cooperation.

Violations:

Standard #:	22VAC40-111-920
Description:	Based on observations and interview, the menu for the current week was not dated. Evidence: There were no dates listed on the current menu. Provider informed licensing representative that food substitutions were made that were not documented on the menu posted.
Plan of Correction:	I will date the menu and list changes made.
Standard #:	22VAC40-111-60-B
Description:	Based on records reviewed, 2 out of 5 children's records did not include the required information. Evidence: 1. The record for Child #4 was missing the phone number for 1 of 2 required emergency contacts. 2. The record for Child #5 was missing the medical insurance policy number.
Plan of Correction:	I will get the information from the parents.
Standard #:	22VAC40-111-90-C
Description:	Based on records reviewed, additional immunizations were not obtained every six months for 1 child under the age of 2 years old. Evidence: The most recent immunization record for Child #1 [21 months old] was obtained 12/11/2017.
Plan of Correction:	I will ask the parent for the information today.
Standard #:	22VAC40-111-510-A
Description:	Based on observations, rest mats were not provided to children for resting or napping. Evidence: Upon inspector arrival, 3 children were observed napping on blankets on the floor.
Plan of Correction:	Children have individual rest mats and I will make sure they are used during naptime.