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Arpita Lal
41542 Carriage Horse Drive
Aldie, VA 20105
(240) 476-5467

Current Inspector: Lisa L Hudson (571) 389-2459

Inspection Date: Nov. 7, 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.
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussion on cribs that are not currently in use. If the cribs not normally in use are needed, please ensure that the mattresses for these cribs do not allow for more than 2 fingers of space between the mattress and the crib sides.
Discussed protocol for shelter in place drills.
Discussed the parameters of volunteers and the need for background checks if they provide supervision, care, left alone with children or counted in ratio.

Comments:
An unannounced Renewal inspection was conducted this date. A total of 10 children (28pts) were present with Provider, 1 Assistant and 1 Volunteer. Walk through of the provider's home was completed. Observation of all cribs on site was made and at this time only 2 cribs out of 5 cribs are in use. When the Inspector arrived this morning the children were in two groups. The older group were busy playing and interacting with each other and the younger children were crawling and playing with staff and toys. A nice transition was observed to circle time, singing and interacting along with a muscial CD. The children were familiar with the routine and the words of the songs. Hand washing and food preparation was observed prior to lunch. Lunch today was macaroni and cheese, chicken nuggets, broccoli and grapes. Staff observed sitting closely to one infant while feeding them. A total of 5 children's records, all staff, one volunteer and household member records were reviewed today. No medications on site today, no identified food allergies or special needs at this time. Previous violations were reviewed from the February inspection, and corrective actions were verified. This inspection began at approximately 9:40am and ended at 11:50am. Thank you for your cooperation today. Please email me at: lisa.hudson@dss.virginia.gov with any questions.

Violations:
Standard #: 22VAC40-111-940-B
Description: Based on observation of the refrigerator, an operable thermometer was not available.
Evidence: The refrigerator located in the program area did not have a thermometer available to monitor the temperature of the refrigerator.

Plan of Correction: I will purchase a new one.

Standard #: 22VAC40-111-100-A
Description: Based on child record review, one health exam was not obtained within 30 days of enrollment.
Evidence: Child #4 began care on 8/6/19. The health exam maintained is dated 10/18/19.

Plan of Correction: This child came from out of state and was unable to obtain an appt with the pediatrician within 30 days of enrollment. I will inform parents that a health exam must be received within the first month.

Standard #: 22VAC40-111-60-B
Description: Based on child record review, 3 out of 5 records did not contain all required information.
Evidence: Child #3's record did not contain the provider's liability insurance declaration. Child #4's record did not contain a medical insurance policy number and the second page of the provider's medication policy.

Plan of Correction: I will obtain and maintain this information from the parents.

Standard #: 22VAC40-111-90-A
Description: Based on child record review, immunizations were not obtained prior to enrollment for two children.
Evidence: Child #4 began care on 8/6/19, immunizations on file are not dated. Child #5 began care on 9/30/19, immunizations on file are dated 10/02/19.

Plan of Correction: One of the children came from out of state and was unable to schedule an appt with the pediatrician before beginning care. I will ensure that all children do not began care until immunizations are obtained.

Standard #: 22VAC40-111-210-A
Description: Based on staff record review, 2 staff did not receive the required 16 hours of annual training.
Evidence: Staff #1 received a total of 14 hours of annual training. Staff #2 received a total of 11 hours of annual training.

Plan of Correction: We will both enroll and complete the 3 hours of refresher training this week. We will obtain the total of 16 hours of training annually ongoing.

Standard #: 22VAC40-111-240-A
Description: Based on observation of the physical plant, one area of the home was not maintained in a safe manner.
Evidence: The drywall located by the baby gate is peeling and chipping. This area is accessible to the children in care.

Plan of Correction: I will have this repaired. This happened when the gate was installed.

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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