VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sellapperumage Fernando
873 Patrick Henry Drive
Arlington, VA 22205
(703) 534-5012

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Oct. 3, 2019

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 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication. 63.2 Child abuse and neglect 63.2 Licensure and Registration Procedures 63.2 Facilities and Programs

Technical Assistance:

Technical assistance was provided regarding sending the inspector proof that the Central Registry search paperwork was sent in by 10/18/19 for both staff members and 2 household members. When results are received send results to inspector. It was recommended that a file be set up for each staff member and household member.

Comments:

An announced initial inspection was conducted today from 9:30am-12:00pm. There were 3 children (10 points) supervised by 2 direct caregivers. The home, 2 staff records, 3 children?s records, 3 household member?s records, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed engaging freely and interacting with caregivers. Diapering procedures were also observed. Areas of non-compliance are identified in the Violation Notice. Thank you for your cooperation during this inspection. If you have any questions regarding this inspection, contact nancy.radcliffe@dss.virginia.gov or call 703-268-3728.

Violations:

Standard #:	22VAC40-111-750-D
Description:	Based of review of over the counter topical skin products, 5 out of 6 were expired. Evidence: Five diaper creams were expired.
Plan of Correction:	I don't use most of them, I will remove them.
Standard #:	22VAC40-111-1020-G
Description:	Based on interview with provider, washcloths are being used and then washed daily. Evidene: Washcloths are being used, but not assigned for individual use.
Plan of Correction:	I will begin using papertowels.
Standard #:	22VAC40-111-120-B
Description:	Based on review of 2 staff records, 1 is not complete. Evidence: Staff #2 does not have a record on file.
Plan of Correction:	I will set up a record for her.
Standard #:	22VAC40-111-200-C
Description:	Based on review of 2 staff records, 1 is incomplete. Staff #2 has not completed an orientation.
Plan of Correction:	I will complete an orientation with her.
Standard #:	22VAC40-111-230-A
Description:	Based on review of 2 staff records, 2 are incomplete. Staff #1 does not have documentation of education or qualification for the position. Staff #2 does not have documentation of education or experience
Plan of Correction:	I will contact my country and get the documentation needed. For staff #2 I will the documentation in the file.
Standard #:	22VAC40-111-280
Description:	Based on observation, potentially poisonous substances are accessible to children. The laundry room door, with cleaning agents was open making the potentially poisonous substances accessible to children.
Plan of Correction:	Corrected during the inspection. I usually make sure the door is locked.
Standard #:	22VAC40-111-320-G
Description:	Based on interview with provider, the fireplace and chimney has not been inspected annually. Evidence: The last fireplace inspection was done in 2016.
Plan of Correction:	I will get the fireplace and chimney inspected.
Standard #:	22VAC40-111-430-B
Description:	Based on observation an accordion expansion gate is being used as a protective barrier. Evidence: At the top of the stairs to the basement an accordion expansion gate is being used.
Plan of Correction:	I already bought a gate and will install it.
Standard #:	22VAC40-111-690-D
Description:	Based on observation, the diapering surface was not cleaned and sanitized after each change. Evidence: After a diaper change the diapering surface was not sprayed with a solution of soap & water, wiped clean, then sprayed with a solution of bleach & water and allowed to air dry.
Plan of Correction:	I will make up the spray bottles and follow the correct procedure.