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Durga Adhikari KC
42692 Sandman Terrace
Chantilly, VA 20152
(703) 327-8366

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: Nov. 19, 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
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Discussed with provider to include all food items served in the posted menu.

Discussed required background check requirements for a teacher to e utilized as a backup caregiver.

Comments:
An unannounced renewal inspection was conducted today from 11:00am-12:30 pm. There were 7 children present (17 points) directly supervised by the provider and an assistant. The home, 3 staff records, 5 children?s records, 2 household member?s records, caregiver training, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today in accordance with the provider's medication policy. Children were observed playing freely and eating eating lunch. Diapering and handwashing procedures were also observed. There was an assortment of age appropriate materials for children. The home was clean and organized. 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 #: 22VAC40-111-750-A
Description: Based on record review and provider statement, written parent authorization for the administration of topical ointments was not present on the date of inspection.
Evidence:
A tub of topical ointments for use by children in care was observed. When asked for the authorizations, the provider said that she does not have a written authorization.

Plan of Correction: My inspector is emailing me the form and I will have parents complete the authorization.

Standard #: 22VAC40-111-70-A
Description: Based on record review, parents were not informed in writing of some of the provider's policies required.
Evidence:
The records for Children 1, 2, 3, 4, and 5 did not contain documentation that parents were informed, in writing of the following policies: Schedule of fees and payment plans; Check in and check out procedures; 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.

Plan of Correction: I will complete the missing sections of the Information for Parents form and have the parents sign the updates sections.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the diaper changing surface was not sanitized after each use.
Evidence:
Adult 1 was observed to change a diaper and cleaned the changing pad with a wipe immediately following the diaper change. This does not meet the definition of "sanitized". "Sanitized" means treated in such a way as to remove bacteria and viruses from inanimate surfaces through first cleaning and secondly using a solution of one tablespoon of bleach mixed with one gallon of water and prepared fresh daily or using a sanitizing solution approved by the U.S. Environmental Protection Agency. The surface of the item is sprayed or dipped into the sanitizing solution and then allowed to air dry.

Plan of Correction: I will use a disinfectant spray in the future.

Standard #: 22VAC40-111-690-E
Description: Based on observation, soiled diapers were not disposed in a storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal.
Evidence:
A soiled diaper was disposed in a foot operated container in the bathroom. The bathroom door was opened with the caregiver's unwashed hand prior to disposal.

Plan of Correction: I will leave the bathroom door open when changing diapers so that it is unnecessary to open it.

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. To find programs participating in Virginia Quality, click here.

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