VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sellapperumage Fernando
873 Patrick Henry Drive
Arlington, VA 22205
(703) 534-5012

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: Sept. 14, 2022

Complaint Related: No

Areas Reviewed:

Areas of Standards Reviewed: ?8VAC20-800 Administration ?8VAC20-800 Personnel ?8VAC20-800 Household Members ?8VAC20-800 Physical Health of Caregivers and Household members ?8VAC20-800 Caregiver Training ?8VAC20-800 Physical Equipment and Environment ?8VAC20-800 Care of Children ?8VAC20-800 Preventing the Spread of Disease ?8VAC20-800 Medication Administration ?8VAC20-800 Emergencies ?8VAC20-800 Nutrition ?8VAC20-800 Transportation ?8VAC20-800 Nighttime Care ?8VAC20-770 Background Checks ?20 Access to minor?s records ?22.1 Background Checks Code, Carbon Monoxide ?54.1 Provider must be MAT certified to administer prescription medication. ?63.2 Child abuse and neglect

Comments:

A monitoring inspection was conducted on September 14, 2022. 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 5 child records and 5 caregiver/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 Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	22.1-289.036-B-2
Description:	Based on review of household member (HHM) records, when a HHM turned 18 they did not submit to a fingerprint search. Evidence HHM #1 turned 18 in August 2022, does not have an eligible fingerprint letter on file.
Plan of Correction:	My family member will have the fingerprint completed ASAP and I will send the results to my inspector.
Standard #:	8VAC20-770-40-D-4-a
Description:	Based on review of household member (HHM), a HHM turned 18 and did not sign a sworn statement or affirmation. Evidence HHM #1 turned 18 in August 2022, and did not sign a sworn statement or affirmation.
Plan of Correction:	I will have my household member sign the Sworn Statement and send a copy of it to my inspector.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of caregiver records, one caregiver does not have a central registry finding within 30 days of employment. Evidence Caregiver #1 (date of hire 2/18) does not have a central registry finding within 30 days of employment.
Plan of Correction:	i will follow up on the missing CPS ASAP and send the results to my inspector.
Standard #:	8VAC20-800-940-B
Description:	Based on observation of the family day home, an operable thermometer was not available in the refrigerator or freezer to monitor the temperatures. Evidence The wasn't an operable thermometer available in the refrigerator or freezer to monitor the temperatures.
Plan of Correction:	I will purchase two thermometers and put one in the refrigerator and one in the freezer.
Standard #:	8VAC20-800-100-A
Description:	Based on review of 5 children's records, 1 did not have documentation of a physical examination within 30 days after the first day of attendance. Evidence Child #1 (first day of attendance 6/20/22) does not have documentation of a physical examination within 30 days after the first day of attendance.
Plan of Correction:	I will contact the parents and get the missing physical form. I will make sure to get the physical form within 30 days of a child's first day.
Standard #:	8VAC20-800-60-B
Description:	Based on review of 6 children's records,1 record did not contain emergency contact information. Evidence Child #2 did not have any emergency contact information, including name, address and phone number, listed in their record.
Plan of Correction:	I will ask the parents to add two emergency contacts and make sure all forms are completed before a chills first day.
Standard #:	8VAC20-800-170-A
Description:	Based on review of household member (HHM) records, one HHM does have a current report of tuberculosis (TB) screening. Evidence HHM #1 who turned 18 in August 2022, does not have a current report of a TB screening.
Plan of Correction:	My household member has a TB screening, I will find it and put it in the record. I will make sure all the required documents are placed in their record.
Standard #:	8VAC20-800-180-A
Description:	Based on review of household member (HHM) records, one HHM does not have a current report of tuberculosis (TB) screening every two years from the date of the first screening. Evidence HHM #2 does not have a current report of TB screening every two years. TB screening in record expired 3/10/22.
Plan of Correction:	I will have my household member get a new TB screening and put it in their record. I will make sure everyone gets a new TB screening before their old one expires.
Standard #:	8VAC20-800-180-A
Description:	Based on review of household member (HHM) records, one HHM does not have a current report of tuberculosis (TB) screening every two years from the date of the first screening. Evidence HHM #2 does not have a current report of TB screening every two years. TB screening in record expired 3/10/22.
Plan of Correction:	I will have my household member get a new TB screening and put it in their record. I will make sure everyone gets a new TB screening before their old one expires.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, the swing set in the backyard is in not being maintained in a clean, safe and operable conditions. Evidence The swing set in the backyard is rusting, the S hooks on the swings are open, leaving the opportunity for the swing to come off, making the swing set unsafe for children. The swing set shall not be used until repairs are made.
Plan of Correction:	I will fix the rust and S hooks on the swing set. The children will not be allowed to play on the swing set until it is repaired.
Standard #:	8VAC20-800-510-A
Description:	Based on observation, the cribs and cots are not identified for individual use by a child. Evidence The cots and cribs were not identified for individual use by a child.
Plan of Correction:	I will label all the cribs and cots with the children's names.