VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Jeevamany Wimalkantha
4352 Lee Hwy., Apt. G2
Arlington, VA 22207
(571) 723-5384

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Dec. 18, 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 Medication Administration 22VAC40-111 Emergencies 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child abuse and neglect 63.2 Facilities and Programs

Technical Assistance:

Discussed organization of paperwork.

Comments:

An unannounced renewal inspection was conducted today between 11:00 am and 1:30 pm. There were 6 children (20 points) with 2 caregivers. The physical plant, attendance records, emergency procedures, cribs, bottles and food brought from home. children's records, caregiver's records and household member's records, emergency plans and emergency supplies were inspected. The children were observed playing and watching a video. They were also observed during hand washing and diaper changes. The children were observed eating lunches brought from home. Areas of non compliance were cited on the Violation Notice. If you have any questions, please contact me at Tanya.Johnson1@dss.virginia.gov or call 571.423.6392.

Violations:

Standard #:	22VAC40-111-750-A
Description:	Based on observation and review of children's records, the provider failed to ensure that a written authorization for topical ski products is obtained at least annually. Evidence: Child #2 and #3's records do not have documentation of written authorization for topical diaper cream.
Plan of Correction:	I will get form signed by parents.
Standard #:	22VAC40-111-750-B
Description:	Based on observation, the provider failed to ensure that topical creams shall be inaccessible to children. Evidence: Topical diaper creams are kept on the lower shelves of the changing table and are accessible to children.
Plan of Correction:	I will move them out of area where children have access to them.
Standard #:	22VAC40-111-830-B
Description:	Based on a review of emergency procedures, the provider failed to ensure that shelter in place procedures will be practiced a minimum of twice per year. Evidence: The provider did not have documentation of shelter in place practiced at least twice per year.
Plan of Correction:	I conducted the shelter in place drills, but unable to locate during inspection I will remember to document and keep paperwork in a safe place.
Standard #:	22VAC40-111-100-A
Description:	Based on a review of children's records, the provider failed to ensure that documentation of a physical examination by or under the direction of a physician prior to child's attendance or within 30 days after the first day of attendance. Evidence: Child #1's record does not contain documentation of physical within 30 days of the first day of attendance.
Plan of Correction:	I will request from parents.
Standard #:	22VAC40-111-60-A
Description:	Based on a review of children's records, the provider failed to ensure that children's records are up to date for all children enrolled. Evidence: 1) Child #1's record does not contain documentation of medical insurance policy number or an address for the first emergency contact or proof of identification. 2) Child #3's record does not contain documentation of names of persons other than the custodial parents who are authorized to pick up the child 3) Child #5's record does not contain documentation of a phone number for the first emergency contact and it does not contain documentation of names of persons other than the custodial parents who are authorized to pick up the child. 4) Child #1, #2, #3, #4 and #5's records do not contain signed documentation relative to the Medication Policy or Liability Insurance.
Plan of Correction:	I will get the information from parents.
Standard #:	22VAC40-111-210-A
Description:	Based on review of caregiver records, in addition to satisfactory completion of first aid and CPR training, caregivers shall obtain a minimum of 16 clock hours of training annually in areas relevant to their job responsibilities. Evidence: Caregivers did not complete any training hours in 2019.
Plan of Correction:	I will make sure that caregivers get 16 hours of training each year.
Standard #:	22VAC40-111-280
Description:	Based on observation, poisonous substances shall be stored in areas not accessible to children. Evidence: On the bathroom counter were two items, labeled keep away from children, but were accessible to children.
Plan of Correction:	I will move it where children can not get to it.