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Janaki Wanniachchige

Inspection · 2025-02-24

Date
2025-02-24
Complaint Related
No
Licensing Inspector
Dominick Fields
(540) 359-5244
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 2/24/2025 and completed on 2/24/2025, as a part of the licensure period. The on-site inspection began at 9:35am and ended at 10:57am. The inspector reviewed compliance in the areas listed above. There were twelve children present and two caregivers; the point total was 38. The inspector reviewed five children?s records and five caregiver/household member(s) records on-site. This inspection included document review and a tour of the facility.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

5
Standard 22.1-289.035-B-4
The provider is required to obtain background checks from any state in which the individual has resided in the preceding five years.

The provider did not request a search of the child abuse and neglect registry from one state for caregiver B, who has resided out of state for over two years during employment and was working with children at the time of the inspection.
Plan of Correction: Will submit the request for an out of state central registry background check for caregiver B.
Standard 22.1-289.036-B-2
Providers must obtain a completed national criminal background check for all adults living in the family day home by the end of the 30th day.

Household member B, residing at the home for one year and six months, did not have a completed national criminal background check.
Plan of Correction: Will submit the request for the national fingerprint background check.
Standard 8VAC20-800-180-A
A tuberculosis (TB) screening is required every two years from the last screening.

An updated TB screening for household members A, B, and C were not completed and are overdue by seven months for household member A, by thirteen months for household member B, and by ten months for household member C.
Plan of Correction: Will complete the updated TB screening for household members A, B, and C.
Standard 8VAC20-800-570-A
The provider must ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed.

The provider exceeded the allowable 16-point limit by six points. There were 38 points assigned to 12 children with only two caregivers present.
Plan of Correction: Additional caregivers will be scheduled as needed to maintain compliance and ensure proper staffing if a caregiver calls out.
Standard 8VAC20-800-60-B
Children's records are required to contain written authorization for emergency medical care should an emergency occur and parent's signed acknowledgement of the receipt of the written information for parents.

The record for Child #1, who had been in care for seven months, was missing authorization for emergency care and parent's signed acknowledgement. Child #3, who had been in care for five months, was missing the parent's signed acknowledgement. Both children were present during the inspection.
Plan of Correction: Will complete the missing information.
View original record on Virginia Department of Social Services