Janaki Wanniachchige

22VAC40-111-770 · Based on review of emergency supplies and interview with the provider, a working portable battery-operated weather band radio, and extra batteries were not available to caregivers at all times.

Evidence: 1) On the date of inspection, the provider had two portable radios available but none of them were working. 2) The provider thought that the batteries in the radios were dead but could not locate extra batteries to make the radios work.

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8VAC20-800-280 · Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents and disinfectants shall be stored away and inaccessible to children.

A container of disinfectant wipes with warning labels, ?Keep out of reach of children,? were on the shelf in the bathroom, within reach of children. The basement storage closet was unlocked, with cleaning supplies and laundry detergent stored on the floor. The provider acknowledged children use the basement area for indoor play.

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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.

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8VAC20-800-800-B · The provider shall review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan.

The emergency plan was not reviewed and was overdue by one year.

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8VAC20-790-180-A · Based on review of staff records, the provider did not obtain a current report of Tuberculosis screening from every two years for each caregiver.

Evidence: The most recent TB screening in the record for Staff #1 was dated 03/21/22, for staff #2 was dated 4/25/22, and for staff #3 was dated 4/23/22.

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8VAC20-800-50-A · Based on document review, the family day home did not keep a written record of children in attendance each day.

Evidence: 1) On the date of inspection, an attendance record for the current week was not available for review.

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8VAC20-800-100-A · Based on record review, the Provider did not ensure that each child have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

Evidence: 1) The record for Child #1 (start date 09/30/2019) did not contain the results of a physical examination.

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8VAC20-800-770 · Based on review of emergency supplies, a working portable battery-operated weather band radio, and extra batteries were not kept available to caregivers at all times.

Evidence: 1) On the date of inspection, a battery-operated weather band radio was available in the family day home, however, the batteries did not work and there were not enough additional batteries available to make it work.

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8VAC20-800-920 · Based on documentation review and interview with the provider, the menu for the current one-week period did not list any substituted foods.

Evidence: 1) On the date of inspection, the provider stated that the lunch that would be served to the children was peanut butter and jelly sandwich, green beans, apples and milk. However, the menu for the day listed lunch as egg, macaroni noodles, corn, peaches and milk. No substitutions were listed on the menu.

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