Kumari Wickramaratne

8VAC20-800-170-A

“The provider shall obtain from each caregiver at the time of hire and each adult household member a current Report of Tuberculosis Screening form published by the Virginia Department of Health or a form consistent with it documenting the absence of tuberculosis in a communicable form. Household member #2 turned 18 years old over 3 months ago and did not have a Tuberculosis screening or test on record.”

22.1-289.036-B-2

“Providers must obtain a completed national criminal background check when household members turn 18 years old. Household member #2 turned 18 years old over 3 months ago and did not have a completed national criminal background check.”

22.1-289.036-B-1

“The provider is required to obtain a completed sworn statement prior to household members turning 18. Household member #2 turned 18 years old over 3 months ago and did not have a sworn statement on record.”

8VAC20-800-690-L

“Toilet chairs, when used, shall be emptied promptly, cleaned and sanitized after each use. A potty chair in the bathroom had not been emptied after use. It still had urine in it.”

8VAC20-800-280

“Potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agents, disinfectants, deodorizers, plant care chemicals, pesticides, and petroleum distillates shall be stored away from food in areas inaccessible to children. A bottle of cleaning solution was located on the counter in the bathroom accessible to children.”

22.1-289.011-F

“Most recent license is not posted. Evidence: The License posted expired last year. The provider did not post the updated license.”

8VAC20-800-240-A

“Based on observation, it was determined that an area was not maintained clean. Evidence: 1. Observation of the children's bathroom, revealed a toilet had not been flushed after a child had used it.”

8VAC20-800-200-C

“Based on interview and record review of the listed substitute/assistant staff member, it was determined documentation of the orientation was not signed and dated by the provider and this staff person. Evidence: 1. Provider stated that a household member is an assistant/substitute and children's records have this staff listed as the substitute provider. 2. The file for this staff member does not include documentation of Orientation.”

8VAC20-800-800-B

“Based on record review, it was determined the Provider did not review and update the Emergency Preparedness Plan this past year. Evidence: 1. The Emergency Plan has been updated 5 times but not in the last year.”

8VAC20-800-210-A

“Based on interview and record review it was determined that In addition to satisfactory completion of first aid training and CPR training, not all caregivers have obtained a minimum of sixteen clock hours of training annually in areas relevant to their job responsibilities. Evidence: 1. Provider stated a household member is used as n assistant when necessary and Provider acknowledged this person is also listed as the substitute Provider. 2. The records for this staff member included CPR/First Aid certification but there was no other documents to verify 16 hours in annual training. 3. provider stated this staff person has not taken any other trainings except CPR and First Aid.”

8VAC20-800-30-E

“Based on interview and observation, it was determined the provider did not ensure that the home's activities, services, and facilities are conducive to the welfare of children in care. Evidence: 1. At the time of arrival, Caregiver #3 was putting items away in the garage refrigerator and saw the Inspector approach. The caregiver stated the inspector needed to wait and that the caregiver would call up to the Provider. After 5 minutes of waiting and knocking, the Provider opened the door and stated that she was busy cleaning up from Thanksgiving lunch. 2. The Provider was asked how many children were present and she stated 12 children were present. 3. Eleven children were being put down for nap and one child was observed in a small enclosed room, and in a crib. Caregiver #3 was not present. 4. Upon walking through the house, the Inspector observed Caregiver #3 outside along the side of the fence with 2 children and they were not wearing coats. 5. The Provider then acknowledged she had 14 children. and agreed to have the children brought back in. 6. Child 1 and 2 were brought back in and then placed on cots for sleep.”

8VAC20-800-40-A

“Based on observation and interview, it was determined the provider did not ensure that the total number of children receiving care at any one time exceed the maximum licensed capacity of the home. Evidence: 1. Provider's license has a capacity of 12 but 14 children were present and receiving care at the time of the inspection.”

8VAC20-800-50-A

“Based on interview and record review, it was determined the Provider did not keep a written record of children in attendance each day. Evidence: 1. Provider was asked for the attendance record and stated she did not record attendance today. 2. The Provider was then asked for yesterdays and last week's attendance and she could not locate it.”

8VAC20-800-60-B

“Based on record review and interview of the Provider it was determined the a child's record did not contain all information. Evidence: 1. Upon reviewing files, the Provider stated child #15 is no longer enrolled. The Provider stated the child left at the end of the summer. 2. The file was maintained with all of the children's files and did not have a recorded termination date.”

8VAC20-800-320-G

“Based on record review and interview, it was determined the 2 fireplaces and associated chimneys have not been inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Evidence: 1. The home has two fireplaces and Provider stated they are used. The Provider had an inspection but it was dated July, 2021.”

8VAC20-820-120-E-2

“Based on observation and record review, it was determined the Provider did not have the findings of the most recent inspection posted for view. Evidence: 1. The Inspection posted for review was from two prior inspections and not the April, 2022 Inspection.”

8VAC20-800-730-D

“Based on observation, it was determined the Provider did not keep household medication in a locked place using a safe locking method that prevents access by children. Evidence: 1. On the third floor, the Provider has a crib in the master bedroom for an infant. In that room was medication on a nightstand.”

8VAC20-770-40-D-5-a

“Based on interview and record review, it was determined the Provider did not obtain a Child protective services central registry check within 30 days of a person in the home becoming 14 years old. Evidence: 1. Household member turned 14 years old in October, 2021. 2. The provider showed a form sent for clearance but it was not the correct form.”