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Mrs. Monique Booker
1622 Aspen Street, NW
Roanoke, VA 24017
(540) 206-3384

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Oct. 21, 2014

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 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An announced monitoring inspection was done today beginning at 10:30 a.m. and ending at 1:45 p.m. The licensee and household member was present with five children. The points were at 12 and in compliance. The LI reviewed five children's and on staff and a household member's record during the inspection. The children were observed during their free play time playing with a variety of floor activities, lunch and nap. There is no medication administered by the Provider and she continues to participate with the USDA food program. Reminders: TB screening for the household member will be due in November 2014 and TB screening for licensee is due in January 2015. Discussion about record keeping, chemicals that are stored in the child care area, annual fee for 2014 is due before the renewal in 2015, changing table is to be cleaned with soap and water and sprayed with a sanitizing spray and allowed to air dry after each diaper change. The risk matrix was discussed and is located on the supplemental page.

Violations:
Standard #: 22VAC40-111-920
Description: Based on review, the licensee failed to ensure that the menu for the week was not posted. Evidence: 1. During the inspection the LI asked the Provider for the menu as the LI could not locate it and the Provider indicated that it was not posted.

Plan of Correction: The licensee sends a copy of the menu home with the parents every week. The licensee will post a menu so that parents may see as needed.

Standard #: 22VAC40-111-60-B
Description: Based on review of five children's records, the licensee failed to ensure that all records were complete. Evidence: 1. The inspector found that children # 4 and 5 only had one of the two required emergency contacts.

Plan of Correction: The licensee will have the family to add another emergency contact and will monitor all records for completeness.

Standard #: 22VAC40-111-280
Description: Based on observation of the bathroom, the licensee failed to ensure that all chemicals were out of reach of the children in care. Evidence: 1. The inspector observed a spray can of disinfectant sitting behind the toilet.

Plan of Correction: The licensee will remove the chemicals and will monitor all areas.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of the licensee and household's records, the licensee failed to ensure that all background checks were completed in a timely manner. Evidence: 1. The inspector found that both the household member and the licensee did not have updated background checks. The CPS checks were completed on 12/20/2010. The background checks need to repeated every three years.

Plan of Correction: Based on interviews with the licensee, the CPS check was returned on two different occasions for different reason both times. The licensee will resubmit the CPS form and will follow up to ensure that all paperwork was completed correctly.

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.

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