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Minu Thapa
7135 Quincy Avenue
Falls church, VA 22042
(703) 507-4787

Current Inspector: Maria Robles-Lopez (703) 397-3827

Inspection Date: Nov. 28, 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.
8VAC20-820 HEARINGS PROCEDURES.
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 11/28/2022 between the hours of approximately 12:00 pm and 1:00 pm. There were 5 children present (17 points), ranging in ages from 5 months to 2 years, with 2 staff supervising. Children and staff were observed while getting ready for naptime.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. No medication was on site today. A total of 2 child records and 2 staff 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. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-800-B
Description: Based upon documentation review, the provider has not ensured that the emergency preparedness plan is reviewed annually and the review is
documented.
Evidence:
1) The most recent review of the Emergency Preparedness Plan documented by the provider was dated 02/16/2021.

Plan of Correction: The provider shall review and update the Emergency Preparedness Plan as needed. The provider shall document the review.

Standard #: 8VAC20-800-50-A
Description: Based on documentation review, the family day home (fdh) did not keep an accurate written record of children in attendance each day.
Evidence:
1) At the time of entrance, 5 children were in care in the fdh. The attendance record did not have any children documented as present.

Plan of Correction: Corrected during the inspection.

Standard #: 8VAC20-800-180-A
Description: Based on record review, the provider did not ensure that caregivers obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years.
Evidence:
1) A current Tb screening was due for Staff #2. The Tb screening form in the record for Staff #2 was dated 11/20/2020.

Plan of Correction: The provider will submit to the inspector the results of Staff #2'sTb screening once they are available.

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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