VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kumari Wickramaratne
11440 Tanbark Drive
Reston, VA 20191
(703) 715-0088

Current Inspector: Pernille Brandt (703) 203-8659

Inspection Date: Nov. 22, 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 8VAC20-800 Nighttime Care 8VAC20-820 THE LICENSE 8VAC20-820 THE LICENSING PROCESS

Technical Assistance:

Discussed need to have system to ensure caregivers can check on infants napping when they are placed on two separate floors. Also discussed Zoning requirements that state children should not nap in a room that does not have two methods to exit. The enclosed room used for a crib is one example. Sub Qualifications and documentation of substitute hours were discussed.

Comments:

An unannounced monitoring inspection was conducted today from12:40-1:55. Upon a walk through of the house, it was revealed there were 14 children for a total of 37 points directly supervised by 3 staff. There were 12 children inside the home and child 1 and 2 were found outside with a caregiver. The home, staff records, children?s records, 2 household member?s records, evacuation drills, and policies were inspected. There were no children medications on site today. Children were observed going down for nap. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector, Cynthia Ford at Cynthia.ford@doe.virginia.gov or 703-479-4679.

Violations:

Standard #:	8VAC20-800-730-D
Description:	Based on observation, it was determined the Provider did not keep household medication in a locked place using a safe locking method that prevents access by children. Evidence: 1. On the third floor, the Provider has a crib in the master bedroom for an infant. In that room was medication on a nightstand.
Plan of Correction:	I removed medicine and I will move the crib down to the second floor.
Standard #:	8VAC20-800-30-E
Description:	Based on interview and observation, it was determined the provider did not ensure that the home's activities, services, and facilities are conducive to the welfare of children in care. Evidence: 1. At the time of arrival, Caregiver #3 was putting items away in the garage refrigerator and saw the Inspector approach. The caregiver stated the inspector needed to wait and that the caregiver would call up to the Provider. After 5 minutes of waiting and knocking, the Provider opened the door and stated that she was busy cleaning up from Thanksgiving lunch. 2. The Provider was asked how many children were present and she stated 12 children were present. 3. Eleven children were being put down for nap and one child was observed in a small enclosed room, and in a crib. Caregiver #3 was not present. 4. Upon walking through the house, the Inspector observed Caregiver #3 outside along the side of the fence with 2 children and they were not wearing coats. 5. The Provider then acknowledged she had 14 children. and agreed to have the children brought back in. 6. Child 1 and 2 were brought back in and then placed on cots for sleep.
Plan of Correction:	This will not happen again. I made a mistake and will make sure I stay in numbers.
Standard #:	8VAC20-800-40-A
Description:	Based on observation and interview, it was determined the provider did not ensure that the total number of children receiving care at any one time exceed the maximum licensed capacity of the home. Evidence: 1. Provider's license has a capacity of 12 but 14 children were present and receiving care at the time of the inspection.
Plan of Correction:	I will not have more than 12 again. It was an error for me to allow two children to come today for thanksgiving lunch.
Standard #:	8VAC20-800-50-A
Description:	Based on interview and record review, it was determined the Provider did not keep a written record of children in attendance each day. Evidence: 1. Provider was asked for the attendance record and stated she did not record attendance today. 2. The Provider was then asked for yesterdays and last week's attendance and she could not locate it.
Plan of Correction:	I have a purple folder for attendance but not sure where I put it when setting up Thanksgiving lunch. I will make sure to keep attendance and record when each child arrives.
Standard #:	8VAC20-800-60-B
Description:	Based on record review and interview of the Provider it was determined the a child's record did not contain all information. Evidence: 1. Upon reviewing files, the Provider stated child #15 is no longer enrolled. The Provider stated the child left at the end of the summer. 2. The file was maintained with all of the children's files and did not have a recorded termination date.
Plan of Correction:	I will record his termination date today.
Standard #:	8VAC20-800-320-G
Description:	Based on record review and interview, it was determined the 2 fireplaces and associated chimneys have not been inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1. The home has two fireplaces and Provider stated they are used. The Provider had an inspection but it was dated July, 2021.
Plan of Correction:	I will call and get an inspection conducted in the next week.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation and record review, it was determined the Provider did not have the findings of the most recent inspection posted for view. Evidence: 1. The Inspection posted for review was from two prior inspections and not the April, 2022 Inspection.
Plan of Correction:	I will post todays inspection.