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Rohina Shrestha
41067 Freshfields Court
Aldie, VA 20105
(571) 274-0483

Current Inspector: Eureka Nance (703) 638-5968

Inspection Date: July 23, 2021

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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts , documents review, interviews, and a virtual tour of the program.

A monitoring inspection was initiated on July 21, 2021, and concluded on July 22, 2021. The director was contacted by telephone and a virtual inspection was conducted . There were 1O children present, ranging in ages from infants to 4 years old, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision,
programming , medication, special care and emergencies and nutrition . A total of 2 child records, 2 staff records, 2 household records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program .

Should you have any questions, please contact me at eureka.nance@doe.virginia.gov.

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on staff and household records review, the provider did not obtain documentation for each caregiver and adult household member a current Report of Tuberculosis Screening form every two years from the date of the first screen-ing or more frequently as recommended by a physician or the local health department.

Evidence:
Staff #1 Tuberculosis Screening expired on 1/05/2020.
Staff #2 Tuberculosis Screening expired on 8/16/2020.
Household member #1 Tuberculosis Screening expired on 1/17/2020.

Plan of Correction: I will get the Tuberculosis Screening done asap.

Standard #: 22VAC40-191-40-D-5-a
Description: Based on household records review, the pro-vider did not obtain documentation that a person .14 years of age and older must have a search of the central registry and make the information available for regulatory purposes.

Evidence: Household member #2 did not have central registry results documentation in record available for review during the inspection.

Plan of Correction: I will get the central registry done for all household members asap.

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.

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