VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

Current Inspector: Kristy Atanackovic (804) 629-5032

Inspection Date: Aug. 19, 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 22VAC40-111 Nutrition 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Licensure and Registration Procedures

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, and a virtual tour of the program. A monitoring inspection was conducted on 8/19/2021. The provider was contacted by telephone and a virtual inspection was conducted. There were 6 children present 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 and 3 staff and household member 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. Contact kara.vaughan@doe.virginia.gov with questions regarding this inspection.

Violations:

Standard #:	22VAC40-111-60-B
Description:	Based on record review, two of two children's records reviewed did not contain all required information. Evidence: 1. Child 1's record did not contain a health insurance policy number for the child. 2. Child 2's record did not contain the addresses of two persons to contact in the event the parents cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-90-A
Description:	Based on record review, the provider did not obtain documentation that one child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: Child 1's record did not contain a record of immunization on the date of inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-111-180-A
Description:	Based on record review, the provider did not obtain for each caregiver and adult household member a current Report of Tuberculosis Screening form, every two years from the date of the first screening. Evidence: Adult 1's most current Tuberculosis screening was conducted on 8/11/2018. Adult 3's most current Tuberculosis screening was conducted on 11/28/2018.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1720.1-A
Description:	Based on record review, all employees did not undergo a background check every five years. Evidence: 1. Adult 1's most recent central registry check was conducted on 4/6/16, and most recent sworn statement or affirmation was completed on 4/19/16. 2. Adult 2's most recent central registry check was conducted on 8/1/16, and most recent sworn statement or affirmation was completed on 7/8/16.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	63.2-1721.1-A
Description:	Based on record review, all adult household members did not undergo background checks every five years. Evidence: Adult 3's most recent central registry check was conducted on 4/6/2016, the most recent sworn statement or affirmation was completed on 4/19/16.
Plan of Correction:	Not available online. Contact Inspector for more information.