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Ms. Kamala Siwakoti
13013 Tyree Way
Bristow, VA 20136
(703) 369-2401

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Oct. 17, 2022

Complaint Related: No

Areas 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
8VAC20-770 Background Checks
22.1 Background Checks Code, Carbon Monoxide

Comments:
An unannounced renewal inspection was conducted on 10/17/22 from 9:30am to 10:30am with the provider. There were no children in care as the provider reported having a delayed opening this morning due to an appointment. Two children were expected to arrive for the day and two additional children are enrolled part-time. Four child records, one caregiver record, and one household member record were reviewed. The provider has current certification in CPR and First Aid, and understands that she must obtain certification in Medication Administration Training (MAT) in order to give medication. The first aid kit, flashlight, weather band radio, and carbon monoxide detector were observed. The emergency drill log and menu were also requested. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 10/24/22. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:
Standard #: 8VAC20-800-830-C
Description: Based on review of documentation, the provider did not ensure that documentation was maintained of emergency evacuation and shelter-in- place drills. Evidence: The emergency drill log for the current year was requested by the Licensing Inspector but it was not made available. The provider reported that she could not find it.

Plan of Correction: I will find or make a new record for emergency drills.

Standard #: 8VAC20-800-920
Description: Based on interview, the provider did not ensure that the menu for the current one-week period was given to parents or posted or placed in an area accessible to parents. Evidence: The menu for the week was requested by the Licensing Inspector but the provider reported that a menu had not been created for the week.

Plan of Correction: I will make a monthly menu and place it on the parent bulletin board.

Standard #: 8VAC20-800-210-A
Description: Based on review of documentation and interview with the provider, the provider did not obtain a minimum of sixteen hours of training annually. Evidence: The record for the provider contained documentation of six hours of annual training and the provider reported that she did not complete additional training.

Plan of Correction: Annual training was completed on 10/21/22 and the additional certificate sent to the Licensing Inspector. Moving forward, I will make sure I complete the 16 hours each year.

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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