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Duminda Athapaththu
2921 Sayre Road
Fairfax, VA 22031
(703) 407-4888

Current Inspector: Kara Wright (703) 537-6241

Inspection Date: July 10, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed with provider that any future licence will be issued with a maximum capacity of 7 until documents from zoning are provided to support an increase in capacity.

Comments:
An unannounced renewal inspection was conducted today from 9:10am-10:15am. At the beginning of the inspection there were 9 children (29 points) enrolled in the family day home directly supervised by 2 assistant caregivers. A total of 15 children were present in the family day home, and at 9:20am another provider arrived to the family day home and took responsibility for 6 of the 15 children present as they are not enrolled at the family day home. The home, 3 staff records, 5 children?s records, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and one child was napping in a crib. Areas of non-compliance are identified in the Violation Notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at Kara.wright@dss.virginia.gov or 703-537-6241.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on review of first aid items, the provider did not have all required materials. Evidence: The provider could not produce a first aid instructional manual during the inspection.

Plan of Correction: The first aid manual was in the first aid box. I will keep the manual in a pouch that I can locate inside the first aid box.

Standard #: 22VAC40-111-800-A
Description: Based on record review and provider statement the family day home did not have a written emergency plan to include: emergency evacuation, emergency relocation, and shelter-in-place procedures; Addresses the most likely to occur scenarios, including but not limited to fire, severe storms, flooding, tornadoes, and loss of utilities; and Includes provisions for a responsible person who is 18 years of age or older and is able to arrive at the family day home within 10 minutes for emergency backup care until the children can be picked up by their parents. Evidence: On the date of inspection a blank copy of the Virginia Department of Social Services model emergency preparedness plan was observed. The inspector asked Adult 1 if they were able to produce a completed copy. Adult 1 stated that there was not a completed emergency preparedness plan for review.

Plan of Correction: I will keep the emergency file at a visible place.

Standard #: 22VAC40-111-890
Description: Based on observation, food brought from home were not clearly labeled in a way that identifies the owner. Evidence: On a windowsill in the childcare area there were 2 plastic containers containing food, 2 zip top bags containing food, 5 fruit pouches, and 1 canister of infant puffs that were not labeled in a way that identifies the owner.

Plan of Correction: There is only one child that brings food to the daycare and he arrived 5 minutes before the inspector came in and we did not have time to store them in the refrigerator and one container was for the child to eat for the morning. Parents did not provide the fruit & vegetable pouches and the puffs, they belong to the daycare. Since I provide food to the children we have food pouches incase a child refuse [sic] to eat the food we provide. We will write the names of children on the containers.

Standard #: 22VAC40-111-960-E
Description: Bottles were not refrigerated or labeled with the child's full name and the date for infants in care. Evidence: Two filled bottled were observed sitting on the windowsill in the downstairs child care area and were not labeled with either the child's name or date.

Plan of Correction: The inspector arrived during drop off time, these two children arrived few minutes [sic] before the inspector came in, and the assistant filled the bottles with regular whole milk and brought them down for the children. We have asked the parents to label the bottles and the bottles had regular milk for the children to drink in the morning. We will write the names of the children on the bottles in the morning.

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider did not ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home.
Evidence:
On the date of inspection there were 9 children present who are enrolled in the provider's family day home. The provider's current license permits care for up to 7 children.

Plan of Correction: On the day of the inspection the other caregiver came with the children to use our playground around 8:45am the children were not dropped off at my daycare. The children and the caregiver left the premises immediately. When the inspector asked me weather [sic] they come to my daycare often I stated that sometimes they use our playground because when I went for the 2nd phase training the trainer told us that it is alright for other providers to come in and use the playground as long as they take their children when the inspector come for inspections [sic]. I always maintained the licensed capacity of 10.In the future I will make sure they do not come inside the daycare home.

Standard #: 22VAC40-111-50-C
Description: Based on observation, the provider released confidential information contained in children's records without the written consent of the child's parent. Evidence: The "Supplemetal Page" of the licensing inspection conducted on December 7, 2018 was posted on the parent information board in the facility. The "Supplemtal Page" contains identifying information about children enrolled and is confidential.

Plan of Correction: I will not post this sheet in the future.

Standard #: 22VAC40-111-70-A
Description: Based on a review of children's records, five of five children's records reviewed did not contain documentation that parent's were provided required written information about the provider's facility before the child's first day of attendance. Evidence: Children 1, 2, 3, 4, and 5's records did not contain documentation that the parents were provided information in writing on the following policies: Operating information including the hours and days of operation, holidays or other times closed, and the telephone number where a message can be left for a caregiver; Schedule of fees and payment plans; Check in and check out procedures; Requirement for the family day home to notify the parent when the child becomes ill and for the parent to arrange to have the child picked up as soon as possible if so requested by the home; Requirement for the parent to inform the family day home within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life-threatening diseases, which must be reported immediately; Requirement for the child to be adequately immunized as required by 22VAC-40-111-90; Requirement for paid caregivers to report suspected child abuse or neglect according to ? 63.2-1509 of the Code of Virginia; Custodial parent's right to be admitted to the family day home any time the child is in care as required by ? 63.2-1813 of the Code of Virginia; General daily schedule that is appropriate for the age of the enrolling child; Policies for the provision of food; Discipline policies including acceptable and unacceptable discipline measures; Presence of a pet or animal in the home; Amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider; Parental notifications required in 22 VAC 40-111-650; Policies for termination of care; and Address of the website of the department, with a note that a copy of this regulation and additional information about the family day home may be obtained from the website, including compliance history that includes information after July 1, 2003.

Plan of Correction: As I stated during the inspections I have given all the parents the information necessary and have received the signed documents. I will scan and email the daycare agreement for you to check. When you checked the files the parents signatures stating that they have received the agreement was inculed [sic] in them. Parents keep the information and give me only the signed paper stating they have received the agreement. I only keep one master copy to show the inspector. I will print the agreement and put it in the file.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the family day home did not obtain documentation of additional immunizations every six months for children under the age of two. Evidence: Child 5 (Date of Birth 2/18/2017) has a record of immunization documenting the most recent immunizations received on 5/23/2018.

Plan of Correction: I have obtained immunizations from the child.

Standard #: 22VAC40-111-170-A
Description: Based on record review, the provider did not obtain from each caregiver at the time of hire prior to coming into contact with children a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Evidence: Adult 3 (Date of Hire 2/4/2019) does not have a Tuberculosis screening on file.

Plan of Correction: I did obtain the TB test results from the assistant but forgot to put it in the assistants file when she gave it to me. I have put her documentation in the file.

Standard #: 22VAC40-111-250-B
Description: Based on observation, children were not protected from materials that could be swallowed or present a choking hazard. Toys or objects less than 1-1/4 inches in diameter and less than two inches in length shall be kept out of reach of children under the age of three Evidence: Three children were observed in one of the upstairs classroom. Two of the children were playing with beads approximately .5 inches in diameter next to a child aged 17 months.

Plan of Correction: As you already know our program is a Montessori program and the teachers are trained Montessori teachers and the children that were present in the classroom were two 2 and a half year olds and a 19 month old who were trained to work with Montessori material such as beads and other products. We will not use beads with children under 2 year olds [sic].

Standard #: 22VAC40-111-280
Description: Based on observation, not all potentially poisonous substances were stored in areas inaccessible to children. Evidence: A spray bottle of chemical cleaner was observed on the floor next to the toilet in the bathroom used by children.

Plan of Correction: Children are not allowed in the bathroom without adult supervision. I have put the cleaning products in a cupboard and locked it.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review the provider did not deny employment to staff who does not have a central registry finding within 30 days of employment. Evidence: Adult 2 and Adult 3 do not have the results of a central registry finding and have been employed for a a period of over 30 days.

Plan of Correction: I have submitted the necessary documents to the central registry but have not received it to date. I will resubmit the necessary documents.

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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