VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sushma Pandey Bista
23132 Dunlop Heights Terrace
Ashburn, VA 20148
(703) 380-4296

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: Oct. 23, 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 ?20 Access to minor?s records ?22.1 Background Checks Code, Carbon Monoxide ?54.1 Provider must be MAT certified to administer prescription medication.

Comments:

An unannounced monitoring inspection was conducted today between the hours of 10:30am through 11:30 am There were a total of seven children (15 points) observed with two caregivers. A total of six children's files and two staff/household member's files were reviewed. The children were engaged in the following: toy play, games, circle time, and other organized activities. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	8VAC20-800-800-B
Description:	Based on documentation review, the provider did not document the annual review of the emergency plan. Evidence: 1. The emergency preparedness plan for the family day home was not reviewed for the current year. The last review was documented in writing on 04/26/2022.
Plan of Correction:	The provider reviewed the Emergency Preparedness Plan and documented the review in writing at the time of the inspection.
Standard #:	8VAC20-800-920
Description:	Repeat Violation Based on observation, the menu for the current one week period was not dated. Evidence: 1. The menu for the current week was not dated.
Plan of Correction:	The provider will date the menu for each week.
Standard #:	8VAC20-800-100-A
Description:	Repeat Violation Based on record review and interview, the provider did not obtain documentation of a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1's record (Start date-09/05/2023) did not have documentation of a physical examination. 2. Caregiver #1 confirmed that Child #1 did not have a physical examination.
Plan of Correction:	The provider will get a copy of the physical examination from the parents.
Standard #:	8VAC20-800-60-B
Description:	Repeat Violation Based on record review, children's records did not contain required information. Evidence: 1. Child #1's record (Start date-09/05/2023) did not contain two emergency contacts addresses. 2. Child #6's record (Start date-07/20/2022) did not contain documentation of the review of the child's emergency contact information.
Plan of Correction:	The provider will get the emergency contact addresses from the parents and document the records. The provider will have the parents to review the child's record and document the annual review in writing for the year.
Standard #:	8VAC20-800-90-A
Description:	Based on record review and interview, the provider did not obtain documentation that the child has been adequately immunized before the first day of attendance. Evidence: 1. Child #1's record (Start date-09/05/2023) did not contain documentation of immunization records. 2. Caregiver #1 confirmed that Child #1 did not have immunization records before the first day of attendance.
Plan of Correction:	The provider will get a copy of the child's immunization records from the parents. Moving forward, the provider will obtain the immunization records before the child starts the daycare.