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Durga Adhikari KC

Inspection · 2025-04-14

Date
2025-04-14
Complaint Related
No
Licensing Inspector
Kristy Atanackovic
(804) 629-5032
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
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-800 Personnel
8VAC20-770 Background Checks
8VAC20-800 Household Members
20 Access to minor?s records
8VAC20-800 Physical Health of Caregivers and
Household members
22.1 Early Childhood Care and Education
8VAC20-800 Caregiver Training
54.1 Provider must be MAT certified to administer prescription medication.
8VAC20-800 Physical Equipment and Environment
63.2 Child abuse and neglect
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.

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 4/14/2025 and completed on 4/14/2025. The on-site inspection began at 11:50 am and ended at 12:50 pm. The inspector reviewed compliance in the areas listed above. There were 8 children present and 2 caregivers; the point total was 19. The inspector reviewed 4 children?s records, 2 caregivers, and 2 household member(s) records on-site. This inspection included document review, a tour of the home, interviews, and observations.

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
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 4/18/2025. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-800-100-A
The provider shall obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance.

Child#1 is missing documentation of a physical examination.
Plan of Correction: Already included
Standard 8VAC20-800-110-B
Immunizations shall be signed by a licensed physician, the physician's designee, or an official of a local health department.

The immunization for Child #1 was not signed by a licensed physician, the physician's designee, or an official of a local health department.
Plan of Correction: She said she will bring by this Friday
Standard 8VAC20-800-120-B
REPEAT VIOLATION

For assistants documentation that two or more references as to character and reputation as well as competency were checked before employment.

Caregiver #2, who had been employed for over five months, is missing one reference.
Plan of Correction: Reference in already included
Standard 8VAC20-800-750-B
Topical skin products shall be inaccessible to children.

On top of a shelf next to the children's bathroom were several bottles of diaper cream that were accessible to the children in care.
Plan of Correction: Those are already kept in above shelf not reaching kids.
Standard 8VAC20-800-90-A
Before attendance, documentation of immunizations is to be obtained for each child.

There was no documentation of immunizations for Child #3 and Child #4, who were in care during the inspection and had been in care for 29 days.
Plan of Correction: I already talked to parents they will drop by 4/18/25
View original record on Virginia Department of Social Services