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Ms. Belinda Hubble
865 West Madison Street
Wytheville, VA 24382
(276) 620-9502

Current Inspector: Sara Hutton-Tallman (276) 608-3749

Inspection Date: Feb. 11, 2015

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
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 today, 2/11/15. The violations from the previous inspection have been corrected. A violation notice was completed regarding the violations found during the inspection. Upon arrival to the family day home the children were settling down for nap. There were five children in care upon arrival totaling 17 points with two caregivers, two left and one came in during the inspection. This made four children and twelve points with one caregiver. Should you have any questions please do not hesitate to call. Inspection began: 12:15 pm ended 3:15 pm.

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on review of staff records it was found that a TB report had expired. Evidence: 1. Staff # 3 has a TB test that expired on 1/30/2014.

Plan of Correction: The provider will have staff #3 get this on Monday, this is the day it is completed at the local health dept. The provider will ensure that TB's are obtained within the set time frames.

Standard #: 22VAC40-111-210-A
Description: Based on review of staff records on 2/11/14 the provider did not have the required hours of annual training. Evidence: 1. Staff #2 has 11 hours of annual training documented. 2. Staff #3 was hired 6/13 and has 0 hours of annual training.

Plan of Correction: The provider stated that she has obtained more training hours and she will provide this information when she can get the computer working. Any additional staff hired will be required to obtain the 16 hours of annual training. The provider will ensure this.

Standard #: 22VAC40-111-240-A
Description: Based on observation of the family day home areas are not being maintained in a clean condition. Evidence: 1. In the dining room and living room areas the floors are dirty. There are crawling babies that would have access to these areas. 2. In the living room area there is a dog bed for the house dogs. This bed is with all the toys and is accessible to the children.

Plan of Correction: Corrected during the inspection. The provider will ensure that the dog bed and toys are put away while the children are in care. The floors will be swept on a daily basis or as often as needed.

Standard #: 22VAC40-111-680-A
Description: Based on observation of the diapering procedure hands a not being washed. Evidence: 1. Staff #2 changed a diaper, cleaned and sanitized the surface but did not wash hands following diapering.

Plan of Correction: Provider will ensure that hands are always washed following diapering.

Standard #: 22VAC40-111-680-B
Description: Based on observation of the diapering procedure the staff failed to make sure children's hands are washed. Evidence: 1. During the inspection staff #2 changed a diaper and placed the child in the crib. Staff #2 did not wash the child's hands.

Plan of Correction: Provider will ensure that hands are always washed following diapering and toileting.

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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