VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Subinita Chowdhuri
11022 Georgetown Pike
Great falls, VA 22066
(703) 314-8028

Current Inspector: Keesha Minor (571) 596-3660

Inspection Date: Oct. 21, 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 22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:

Discussed with provider supervision when children are using different areas of the home, and rest areas versus play areas.

Comments:

An unannounced renewal inspection was conducted today from 10:30am-12:45pm. There were 7 children (18 points) directly supervised by 2 staff. The home, 2 staff records, 5 children?s records, 1 household member?s record, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely and eating snack. Today's snack consisted of pears and milk. Diapering and hand washing procedures were also observed. There was an adequate supply of books, toys, and materials for the children. Areas of non-compliance are identified on the Violation Notice. If you have any questions regarding this inspection, please contact Maria Soto at 571-835-5058 or maria.soto@dss.virginia.gov

Violations:

Standard #:	22VAC40-111-100-A
Description:	Based on record review, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to or within 30 days of attendance. Evidence: Child#4's file contains a physical examination form that is incomplete. The physician needs to complete the last three sections of the form, sign and date it. The child's first day of attendance was documented as 6/11/2018.
Plan of Correction:	I will ask the parents to bring me a physical form completed by the parents.
Standard #:	22VAC40-111-60-B
Description:	Based on record review, children's records did not contain all the required information. Evidence: Child#4's record is missing the address and telephone number for 1 of 2 required emergency contacts, the medical insurance name and the policy number.
Plan of Correction:	I will request the information from the parents.
Standard #:	22VAC40-111-320-A
Description:	Based on observation, small electrical appliances were not unplugged while not in use. Evidence: In the kitchen area, a toaster was observed plugged in while not in use.
Plan of Correction:	We will unplug all small electrical outlets.
Standard #:	22VAC40-111-680-A
Description:	Based on observation, the provider did not wash hands with liquid soap and warm running water after diapering. Evidence: Caregiver#1 did not wash their hands after changing a child's diaper. The caregiver was observed picking up another child after changing the previous child's diaper and proceeding with changing the second child's diaper.
Plan of Correction:	We will make sure I wash my hands after each diaper change.
Standard #:	22VAC40-111-680-B
Description:	Based on observation, a caregiver did not ensure that a child's hands were washed with liquid soap and warm running water after diapering. Evidence: The caregiver was observed changing a child's diaper, immediately after the child's diaper was changed, the caregiver proceeded to change another child's diaper, the child's hands were not washed following the diaper change.
Plan of Correction:	I will make sure I wash the children's hands after each diaper change.