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Sathiya Arivumani
1916 Cherri Drive
Falls church, VA 22043
(612) 232-2046

Current Inspector: Ann Dramstad (703) 314-0860

Inspection Date: March 28, 2023

Complaint Related: No

Areas Reviewed:
X 8VAC20-800 Administration
X 8VAC20-800 Personnel
X 8VAC20-800 Household Members
X 8VAC20-800 Physical Health of Caregivers and Household members
X 8VAC20-800 Caregiver Training
X 8VAC20-800 Physical Equipment and Environment
X 8VAC20-800 Care of Children
X 8VAC20-800 Preventing the Spread of Disease
X 8VAC20-800 Medication Administration
X 8VAC20-800 Emergencies
X 8VAC20-800 Nutrition
X 8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE
8VAC20-820 THE LICENSING PROCESS
8VAC20-820 HEARINGS PROCEDURES
X 8VAC20-770 Background Checks
20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide
X 54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect
8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes

Technical Assistance:
Guidance, resources, model forms and training links can be found on the updated Licensing website https://www.childcare.virginia.gov.

The provider needs to audit all records for completeness and ensure all required information is captured. Model forms are on the VA DOE Licensing site. The provider should transition to State forms rather than the previous ones used for permitting.

The most recent visit notes should be posted by the license.

Comments:
An unannounced monitoring visit was conducted during the Conditional licensure period. Four children were present with one caregiver for thirteen points which is within ratios for supervision. Observed children in free play, infant care and diapering. The home is using two rooms and the bathroom for care as well as the kitchen for food storge. 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. Feel free to contact me if you need any assistance.

Ann Dramstad, Children?s Inspector
Office of Child Care Health and Safety
Division of School Readiness
703-314-0860
ann.dramstad@doe.virginia.gov

Violations:
Standard #: 8VAC20-800-890
Description: Based on observation, two food containers were not clearly labeled with the child's name.
Evidence:
2 of the 4 food containers were not labeled with a child's name.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-100-A
Description: Based on record review, the provider did not obtain documentation of a physical exam within 30 days of attendance.
Evidence:
Child #1, Child #3 and Child #4 were missing physical exam documentation.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-60-B
Description: Based on record review, 4 of 4 children's record were incomplete as they did not contain all required information.
Evidence:
Child #1 was missing the signed emergency authorization and the doctor's phone number,
Child #2 was missing parent work information, and signed emergency authorization.
Child #3 was missing 2 complete emergency contact names and numbers and signed emergency authorization.
Child #4 was missing date of attendance, 1 emergency contact, signed emergency authorization and the insurance policy number.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-70-A
Description: Based on record review, the provider did not have signed written acknowledgement of the receipt of the Information for Parent form(or a similar form containing all required information).
Evidence:
Child #1-4 were missing a signed acknowledgement form for the Information for Parent form, the medication policy of the FDH, the liability insurance form and the Provision of Emergency Relocation.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-80-A
Description: Based on record review, the provider did not verify the child's identity within seven days of attendance.
Evidence:
1. Child #1 was missing Proof of Identity (POI)
2. Child #2 was missing POI
3. Child #3 was missing POI
4. Child#4 was missing POI

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-90-A
Description: Based on record review, the provider did not obtain documentation of an immunization record before the child can attend the Family Day Home.
Evidence:
Child #1 and Child #2 were missing documentation of an immunization record.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-90-C
Description: Based on record review, a child under 2 years of age did not get an updated immunization record every 6 months.
Evidence:
Child #4's last documented immunization was 7/2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-320-B
Description: Based on observation, two electrical outlets that were not in use, were missing protective covers.
Evidence:
An outlet cover was missing by the basketball hoop and by the large TV.

Plan of Correction: The provider replaced the outlet covers during the inspection.

Standard #: 8VAC20-800-530-B
Description: Based on observation, the crib, when being used by an infant, did not have a tight fitting bottom cover.
Evidence:
The occupied crib was using 2 blankets rather than a tight fitting bottom cover.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-800-690-D
Description: Based on observation, the diapering surface was not non-absorbent.
Evidence:
The current diaper pad was edged with a cloth material.

Plan of Correction: Not available online. Contact Inspector for more information.

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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