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Ms. Shirley Ferrell
1325 Oak Street
Danville, VA 24540
(434) 835-2045

Current Inspector: Tara K Martin (804) 588-2371

Inspection Date: Dec. 4, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal inspection was completed on 12/04/2019. There were 7 children, ages 2 months-3 years, totaling 18 points, one provider and one assistant present during the inspection. The inspector reviewed 5 children's records, one provider record, one assistant record, one household member record and one pet record during the inspection. The children were observed in the following activities: in free choice play, watching a television show, having lunch and during nap. The inspector reviewed the updated emergency preparedness plans and the emergency supplies during the inspection. The inspector discussed the renewal process with the provider. The inspector arrived for the inspection at 11:05 a.m. and departed at 2:00 a.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-111-790
Description: Based on observations and discussion, the provider failed to ensure that a 911 or local dial number for police, fire and emergency medical responders, the responsible person for emergency backup care as required in 22VAC40-111-800-A3 and the regional poison control center shall be posted in a visible area close to the telephone.

Evidence: The responsible person for emergency backup care as required in 22VAC40-111-800-A3 was not posted.

Plan of Correction: Will be posted today.

Standard #: 22VAC40-111-920
Description: Based on observation and discussion, the provider failed to ensure that when meals or snacks are provided by the family day home, the menu for the current one-week period shall be posted in an area accessible to parents.

Evidence: The menu for the current one-week period was not posted; the menu posted was for September 2019.

Plan of Correction: A menu will be posted today.

Standard #: 22VAC40-111-960-G
Description: Based on observation and discussion, the provider failed to ensure that bottles shall not be heated in a microwave oven.

Evidence: The bottle for Child #2 was observed being heated in a microwave oven.The contents of the bottle was disposed of and new bottle was made.

Plan of Correction: Will not be done again.

Standard #: 22VAC40-111-120-B
Description: Based on record review and discussion, the provider failed to ensure that the Assistant Caregiver record shall contain all of the elements as required by the standards.

Evidence: The record for Assistant Provider #1 did not contain the following information: address, verification of age, date of employment, name, address and telephone number of a person to be notified in an emergency, documentation that two or more references as to character and reputation as well as competency were checked before employment, and documentation of the education and training as required by 22VAC40-111-230,

Plan of Correction: Will start on the record today.

Standard #: 22VAC40-111-60-B
Description: REPEAT VIOLATION

Based on record review and discussion, the provider failed to ensure that the child's record shall contain all of the elements as required by the standards.

Evidence:
1. The record for Child #1 did not contain the immunization records for the child as required by 22VAC40-111-90 and the results of the health examination for the child as required by 22VAC40-111-100.
2. The record for Child #2 did not contain the following information: name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached (there was only one person provided), names and addresses of previously attended child day care, immunization records for the child as required by 22VAC40-111-90.
3. The record for Child #3 did not contain the immunization records for the child as required by 22VAC40-111-90 and the results of the health examination for the child as required by 22VAC40-111-100.
4. The record for Child #4 did not contain the following information: documentation of the review of the child's emergency contact information as required by 22VAC40-111-780-B (the most recent update was dated 08/23/2018), the immunization records for the child as required by 22VAC40-111-90 and the results of the health examination for the child as required by 22VAC40-111-100.
5. The record for Child #5 did not contain the following information: the name, address and telephone number of each custodial parent's play of employment (there was no telephone number or address provided for the father's place of employment and there was not an address provided for the mother's place of employment), the name, address and telephone number of two designated person to contact in case of an emergency if the parent cannot be reached (the address for the second contact listed was incomplete) and the the immunization records for the child as required by 22VAC40-111-90.

Plan of Correction: The provider will talk to the parents today to request the information.

Standard #: 22VAC40-111-530-B
Description: Based on observation and discussion, the provider failed to ensure that when cribs are being used by infants the crib shall have a tight-fitting bottom cover.

Evidence: The bottom cover on the crib was loose; the bottom cover was bunched up in several places and moved around on the crib mattress easily. The crib was observed being used by an infant during the inspection.

Plan of Correction: Will replace the sheets with tighter ones.

Standard #: 22VAC40-111-540-A
Description: Based on observations and discussion, the provider failed to ensure that infant carrier seats, swings, strollers, feeding or activity tables and high chairs shall be used according to the manufacturer's instructions and when occupied by a child, a safety strap shall be used and securely fastened.

Evidence: Child #2 was observed in an infant carrier seat and the safety straps were not fastened.

Plan of Correction: When the baby is in the seat the straps will be fastened.

Standard #: 22VAC40-191-60-B
Description: Based on record review and discussion, the provider failed to ensure that a person must not be employed until the home has the person's completed sworn statement or affirmation.

Evidence: The record for Assistant #1 did not contain a completed sworn statement or affirmation. Assistant #1 was working during the 12/04/2019 inspection; Assistant #1 confirmed that a sworn statement or affirmation had not been completed.

Plan of Correction: Will have one completed.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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