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Ms. Marlene Campbell
4812 Lytham Drive S.W.
Roanoke, VA 24018
(540) 685-2852

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Nov. 25, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced renewal inspection was conducted in the family day home on November 25, 2014. Upon arrival in the home, the LI observed three children in the care and supervision of the Provider. A fourth child arrived to the family day home prior to lunch time. The children's ages ranged from two to three years. The points total was 8. The Provider reported twelve children are currently enrolled. The LI observed the children during play, the lunch meal and nap time. The Provider was engaged with the children and redirected the children when necessary. The children colored a turkey drawing and the Provider assisted each child with making a head band. A sample of three children's records was reviewed. In addition to two household members' records, records of the two caregivers was also reviewed. Documentation of practiced emergency drills was reviewed. The Provider reported that over-the-counter and prescribed medications are not administered. The findings of the inspection were reviewed during the inspection. If you have any questions, please call (540)204-9625. The on-site inspection was conducted from approximately 10:15am to 1:15pm.

Violations:
Standard #: 22VAC40-111-120-A
Description: Based on a sample review of records, the Provider had not maintained a complete record for each caregiver. Evidence: The LI reviewed the records of two caregivers. One of two did not contain information addressing: verification of age, job title, date of employment/volunteering, name address and telephone number of a person to be notified in an emergency and documentation that two or more references as to character and reputation as well as competency were checked before employment. The Assistant arrived to the family day home during the inspection to provide care of the children while the Provider transported children from school and back to the family day home.

Plan of Correction: The Provider will obtain all required information from the Assistant, information will be complete and filed in the record.

Standard #: 22VAC40-111-70-A
Description: Based on a sample review of children's records, the Provider had not provided in writing to each parent the following information: the amount of time per week that an adult assistant or substitute provider instead of the provider is scheduled to care for the child and the name of the adult assistant or substitute provider. Evidence: The LI reviewed documentation in a sample of 3 children's records. Three of three records did not contain current information to support parents had been informed of the current assistant's name or the amount of time per week that the individual instead of the provider is scheduled to care for the child. The records contained the name of an assistant who is no longer working in the family day home.

Plan of Correction: The Provider will inform each parent in writing of the name of the current adult assistant/substitute provider and the amount of time per week that the individual is scheduled instead of the provider.

Standard #: 22VAC40-111-130
Description: Based on documentation review, the Provider had not obtained documentation to support caregiver #2 had an updated CPS Search of the Central Registry within the past 3 years. The Search of the Central Registry was dated in January 2010.

Plan of Correction: The Provider will submit a request form to obtain an updated background report immediately. Documentation of the verified back ground report will be kept on file.

Standard #: 22VAC40-111-170-A
Description: Based on documentation review, the Provider had not obtained documentation of a current Report of Tuberculosis Screening documenting the absence of tuberculosis in a communicable form from each adult household member. Evidence: Documentation of an initial TB screening for an adult household member was not available for review, household member #2, date of birth 09/29/96.

Plan of Correction: An appointment for a TB screening is scheduled for December 1, 2014. Documentation of the completed screening will be maintained in the family day home.

Standard #: 22VAC40-111-180-A
Description: Based on documentation review, the Provider had not obtained a current Report of Tuberculosis Screening for each adult household member every two years from the date of the last screening. Evidence: The LI reviewed information maintained for household member #1, documentation of the last TB screening was dated 03/23/2012.

Plan of Correction: An appointment is scheduled for December 1, 2014 for the individual to have a TB screening completed. Documentation of the results will be kept on file in the family day home.

Standard #: 22VAC40-111-200-C
Description: Based on documentation review, the Provider did not have documentation which was signed by the Provider and Assistant to support orientation was provided by the end of the first week of the assistant assuming job responsibilities. Evidence: The LI reviewed the record of the identified assistant who was present during the inspection. Documentation was not available for review to support orientation was provided.

Plan of Correction: The Provider will review all topics with the Assistant as listed in Standard 200.B. 1 - 7. The model form will be used to verify orientation and the Assistant's signature.

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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