VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sushma Pandey Bista
23132 Dunlop Heights Terrace
Ashburn, VA 20148
(703) 380-4296

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Nov. 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 Emergencies 22VAC40-111 Nutrition 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Facilities and Programs

Technical Assistance:

Reviewed paperwork required for the household member who will become an adult soon.

Comments:

An unannounced monitoring inspection was completed today. The physical plant, 5 caregiver/household member files, 5 children's files, caregiver training, child nutrition, children's activities, emergency procedures, drills and supplies were inspected between 3:10-4:15pm. There were 6 children, totaling 14 points, under the supervision of the 2 caregivers. Today, the children woke up from naptime, cleaned up, ate afternoon snack, enjoyed free play and prepared to leave for the day. The interactions between the children and Provider were seen to be positive and constructive in nature. Today, the children were served macaroni and cheese, strawberries, blueberries, apple slices and milk. The Provider is not certified in MAT (medication administration training), and there are no children with any medication needs. Should you have any questions, please contact me at mary.wizbicki@dss.virginia.gov.

Violations:

Standard #:	22VAC40-111-830-A
Description:	Based on file review, the Provider failed to practice an evacuation drill each month children are in care. Evidence 1. There was no documentation of an evacuation drill having been completed in October 2019.
Plan of Correction:	This will be completed each month.
Standard #:	22VAC40-111-60-A
Description:	Based on file review, 1 out of 5 children's record has not been updated annually. Evidence 1. Child #5's file was last updated on 7/27/18.
Plan of Correction:	This will be updated.
Standard #:	22VAC40-111-60-B
Description:	Based on file review, 3 out of 5 children's records do not have all required information. Evidence 1. Children #1, #3 and #5 do not have the name, address and telephone number of each custodial parent's place of employment.
Plan of Correction:	This will be added to the files.
Standard #:	22VAC40-111-90-C
Description:	Based on file review, 2 out of 5 children's records do not have additional immunizations once every six months up to 2 years. Evidence 1. Child #2 is 3 years old. The most recent immunization record on file was completed when the child was 17 months old. 2. Child #4 is 17 months old. The most recent immunization record on file was completed when the child was 7 months old.
Plan of Correction:	The Provider will ask the parents for this.
Standard #:	22VAC40-111-150-D-1
Description:	Based on file review, 1 assistant does not have a current certification in CPR. Evidence 1. Caregiver #3's CPR certification expired on 10/9/19.
Plan of Correction:	This will be completed again.
Standard #:	22VAC40-111-150-D-2
Description:	Based on file review, 1 assistant does not have a current certification in First Aid. Evidence 1. Caregiver #3's First Aid certification expired on 10/9/19.
Plan of Correction:	This will be completed again.
Standard #:	22VAC40-111-180-A
Description:	Based on file review, 4 out of 4 caregiver/adult household members do not have a TB test/screening completed within the past two years. Evidence 1. Caregiver/adult household members #1-4 do not have TB test/screenings completed within the past two years.
Plan of Correction:	These will be completed again.