VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Jeevamany Wimalkantha
4352 Lee Hwy., Apt. G2
Arlington, VA 22207
(571) 723-5384

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Jan. 23, 2024

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 Emergencies 8VAC20-800 Nutrition 8VAC20-820 THE LICENSE 8VAC20-770 Background Checks 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:

An unannounced renewal inspection was conducted on 1/23/2024 from 10:50am-1:15pm. There were 6 children (24 points) directly supervised by the provider and 1 assistant caregiver. The home, 2 caregiver records, 3 children?s records, 1 household member?s record, and evacuation drills were inspected. Children were observed playing freely and having lunch. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations:

Standard #:	8VAC20-800-830-C
Description:	Based on record review and provider interview, the provider did not maintain documentation of emergency evacuation drills. Evidence: 1. An emergency evacuation drill was not documented for November and December 2023. 2. The provider reported drills were completed for both months but were documented on a separate piece of paper which has been misplaced.
Plan of Correction:	The provider will look for the misplaced documentation and update the records to reflect drills that were completed.
Standard #:	8VAC20-800-120-B
Description:	Based on record review, 1 of 2 caregiver records reviewed did not contain all required information. Evidence: 1. The record for Caregiver #2 did not contain the following: -Name address and telephone number of a person to be notified in an emergency; -Documentation that two or more references as to character and reputation as well as competency were checked before employment
Plan of Correction:	The provider will request the information and update the caregiver's record.
Standard #:	8VAC20-800-60-B
Description:	Based on record review, 1 of 3 children's records reviewed did not contain all required information. Evidence: 1. The record for Child #2 did not contain the medical insurance policy number.
Plan of Correction:	The provider will request the information from the parents.
Standard #:	8VAC20-800-180-A
Description:	Based on record review, the provider did not obtain a current tuberculosis screening form every two years for 2 of 3 caregiver/household members. Evidence: 1. The most current tuberculosis screening results in the record for Caregiver #1 was dated 11/22/21. 2. The most current tuberculosis screening results in the record for Household Member #1 was dated 12/10/2021.
Plan of Correction:	The provider and household member will schedule appointments to complete an updated tuberculosis screening.
Standard #:	8VAC20-800-200-A
Description:	Based on record review, 1 of 2 caregivers were not provided orientation by the end of their first week of assuming job responsibilities. Evidence: 1. The record for Caregiver #2 did not contain documentation of completed orientation.
Plan of Correction:	The provider will provide orientation to caregivers and ensure documentation is in the record.