VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sellapperumage Fernando
873 Patrick Henry Drive
Arlington, VA 22205
(703) 534-5012

Current Inspector: Nancy Radcliffe (703) 268-3728

Inspection Date: May 8, 2023

Complaint Related: No

Areas Reviewed:

Areas of Standards 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. ?8VAC20-770 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

Technical Assistance:

Assistance was provided on maintenance of the backyard and the swing set and the children playing. Assistance was provided on maintaining caregiver and children's records. A sample of a child's record was given to the provider to use as a reference.

Comments:

A renewal inspection was conducted today between 9:00am and 10:45am. There were 8 children present, with 3 caregivers supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 3 caregiver records were reviewed. The children were observed in free play. 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. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:

Standard #:	8VAC20-800-750-A
Description:	Based on observation, topical skin products were not labeled with the child's name. Evidence Two topical skin products located in the bathroom were not labeled with the child's name.
Plan of Correction:	The topicals have been labeled.
Standard #:	8VAC20-800-800-B
Description:	Based on observation of the emergency procedures, the provider did not review the emergency plan at least annually and update the plan as needed. Evidence The emergency plan was last updated on 4/16/2022
Plan of Correction:	I will review the emergency plan, and make any updates if needed. I will sign and date the form.
Standard #:	8VAC20-800-830-A
Description:	Based on review of emergency procedures, the emergency evacuation procedures were not practiced monthly. Evidence An emergency evacuation drill was not practiced in the month of April, 2023.
Plan of Correction:	I will make sure we do a fire drill every month.
Standard #:	8VAC20-800-830-B
Description:	Based on review of emergency procedures, shelter in place procedures were not practiced a minimum of twice per year. Evidence There was no documentation of any shelter in place drills being practiced.
Plan of Correction:	We did a fire drill and a shelter in place at the same time. I will make sure to document each shelter in place separately.
Standard #:	8VAC20-800-60-B
Description:	Based on review of children's records, children's records did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The record does not contain a proof of identity.. Evidence The record for child #3 , first day of attendance 5/1/23, does not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. The record for child #3 does not contain a proof of identity. The record for child # 4, first day of attendance 2/18/21, only contains the name, address and telephone number of one designated person to contact in case of an emergency if the parent cannot be reached.
Plan of Correction:	I will review the children's records and get all missing documents. I will make sure all required documentation is in each child's record.
Standard #:	8VAC20-800-90-A
Description:	Based on review of children's records, the provider did not obtain documentation that the child has been adequately immunized. Evidence Child #3, first day of attendance 5/1/23, does not have documentation that the child has been adequately immunized.
Plan of Correction:	I will get the immunization record and always get the record before the child's first day.
Standard #:	8VAC20-800-200-A
Description:	Based on review of caregiver records, the provider did not orient the assistant by the end of their first week of assuming job responsibilities. Evidence Caregiver #1, first day of employment 4/2022, does not have documentation of orientation by the end of their first week of assuming job responsibilities.
Plan of Correction:	She has an orientation, I will document it and place it in their record.
Standard #:	8VAC20-800-210-A
Description:	Based on review of caregiver records, a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities has not been completed. Evidence Caregiver #1, #2 and #3 do not have any documentation of annual trainings.
Plan of Correction:	We have been attending trainings, I will see if I can get the certificates. We have attended all the VQB5 webinars also.
Standard #:	8VAC20-800-240-A
Description:	Based on observation areas outside of the family day home are not maintained in a clean, safe operable condition. Evidence The swing set in the backyard has open "S" rings on the plastic seat swing. Areas of the swing set are rusted. The grass in the play area is overgrown and not safe for the children to play in.
Plan of Correction:	We will fix the swing set and the grass will be cut this week.
Standard #:	8VAC20-800-690-D
Description:	Based on observation, the diapering surface is not nonabsorbent. Evidence The diapering surface is torn and ripped making it not nonabsorbent.
Plan of Correction:	I have a new pad, I will change it out today.