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Dinusha Fernando

Inspection · 2024-09-18

Date
2024-09-18
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
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 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.
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 renewal inspection was initiated and completed on August 18, 2024 as a part of the licensure period. The on-site inspection began at 8:30am and ended at 10:30am. The inspector reviewed compliance in the areas listed above. There were 6 children present (14 points) and 2 caregivers. The inspector reviewed 6 children?s records and 3 caregiver records on-site. This inspection included document review, tour of the home, 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on October 3, 2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-B-2
The provider is required to obtain a completed criminal history check prior to the assistant's first day of employment.

The criminal history check for Assistant #1, who is currently working, was dated six weeks after their first day of employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-120-B
Providers must maintain a record for each caregiver including documentation that two or more references were checked before employment.

The record for Assistant #2 contained three reference checks. Reference #1 was completed one day after employment, reference #2 was completed 11 days after employment, and reference #3 was completed 12 days after employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-170-A
Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.

The tuberculosis screening for Assistant #2, was completed one day after employment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-280
Poisonous materials shall be stored in an area inaccessible to children.

A door was unlocked and slightly open in the children?s play area which led to the laundry room where poisonous cleaning chemicals were on the floor.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-800-320-A
The provider is required to keep small electrical appliances unplugged unless being used.

An electric kettle was plugged in, but not being used, in the upstairs kitchen.
Plan of Correction: Corrected during inspection.
Standard 8VAC20-800-750-A
The provider is required to get written parent authorization noting any known adverse reactions at least annually for topical skin products.

The topical authorization form for Child #1 expired 11 months ago. The form for Child #3 expired 8 months ago. The form for Child #4 expired 8 months ago. The form for Child #6 expired 1 year, 5 months ago.
Plan of Correction: I will get new forms from the parents.
Standard 8VAC20-800-90-C
The provider is required to obtain documentation of additional immunizations once every six months for children under the age of two years; and once between each child?s fourth and sixth birthdays.

The immunization record for Child #1 is 9 months overdue and the immunization record for Child #4 is 14 months overdue.
Plan of Correction: The records will be requested from their parents.
View original record on Virginia Department of Social Services