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: Jan. 5, 2023

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

Technical Assistance:

Discussed ripped carpet at the entrance and discussed duct tape on carpet area too.

Comments:

An unannounced monitoring inspection was conducted today from 10:30am-11:45am. There were 12 children for a total of 33 points directly supervised by 3 staff. The home, 4 staff records, 4 children?s records, 1 household member?s record, attendance log, evacuation drills, emergency supplies, and policies were inspected. There were no medications on site today. Children were observed playing freely inside and outside and handwashing was observed. There was an assortment of age appropriate materials for children. The home was clean and organized. 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 #:	8VAC20-800-800-B
Description:	Based on record review, it was determined the Provider did not review and update the Emergency Preparedness Plan this past year. Evidence: 1. The Emergency Plan has been updated 5 times but not in the last year.
Plan of Correction:	I will update again and I will make sure it is gone over with the staff.
Standard #:	8VAC20-800-200-C
Description:	Based on interview and record review of the listed substitute/assistant staff member, it was determined documentation of the orientation was not signed and dated by the provider and this staff person. Evidence: 1. Provider stated that a household member is an assistant/substitute and children's records have this staff listed as the substitute provider. 2. The file for this staff member does not include documentation of Orientation.
Plan of Correction:	I will make sure Orientation is documented.
Standard #:	8VAC20-800-210-A
Description:	Based on interview and record review it was determined that In addition to satisfactory completion of first aid training and CPR training, not all caregivers have obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Provider stated a household member is used as n assistant when necessary and Provider acknowledged this person is also listed as the substitute Provider. 2. The records for this staff member included CPR/First Aid certification but there was no other documents to verify 16 hours in annual training. 3. provider stated this staff person has not taken any other trainings except CPR and First Aid.
Plan of Correction:	I didn't realize it was necessary when this person is only used in emergencies. I will make sure training is completed.
Standard #:	8VAC20-800-240-A
Description:	Based on observation, it was determined that an area was not maintained clean. Evidence: 1. Observation of the children's bathroom, revealed a toilet had not been flushed after a child had used it.
Plan of Correction:	Corrected at the time of the visit and will continue to remind children and staff to flush after use.