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Ms. Tanya Reynolds
1060 Palm Avenue NW
Roanoke, VA 24017
(540) 795-5175

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: April 9, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Nighttime Care
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring visit was done today April 9, 2015 beginning at 10:30 AM and ending at 1 :30 PM. There were nine children in care today and points were in compliance at nineteen. The provider and her assistant were present. The assistant was reviewing shapes, colors and letters with the children. She read them a story and the children enjoyed free play as well as a short TV time while lunch was prepared. Lunch and nap were also observed. The inspector reviewed a sample of eleven children's files which included eight new children. The assistant's files were reviewed as well. There are no medications given and the provider continues with the USDA program. Repeat violations were found and are identified along with the additional violations on the violation notice. These violations as well as corrective action were discussed with the provider at the exit interview. If you have any questions, please contact your inspector at 540-204-9629.

Violations:
Standard #: 22VAC40-111-50-A
Description: Based on observation the the center failed to maintain the attendance log for the children in care each day. Evidence: 1. During the inspection the LI reviewed the attendance log and the provider had not done the attendance for April 1,2 & 5 . The LI asked the provider if she was open those days and the provider indicated she had cared for children on those days. She also did the attendance for the day of the day of the inspection after the LI had arrived and added all the children's names.

Plan of Correction: The provider indicated she and her assistants will begin to keep the attendance as the children arrive. The provider will not rely just on her assistant in the future as they will work on this together.

Standard #: 22VAC40-111-60-B
Description: Based on observation the provider failed to obtain all of the required information for the children's files. Evidence: 1.During the inspection the LI reviewed eight files of newly enrolled children and children # 7 & 8 needed two emergency contact names. Also reviewed were three files of children not newly enrolled and children #'s 9-11 needed the annual update done as of 3 19/14.

Plan of Correction: The provider indicated she would obtain the needed information by April 10th when the parent returned. She will also check the files to determine when other updates are needed and do all updates with the parents as needed.

Standard #: 22VAC40-111-170-A
Description: Based on observation the provider failed to have an assistant obtain a TB test prior to beginning her duties. Evidence: 1. During the inspection the LI reviewed the file for the new assistant # 2 who began March 30, 2015. The assistant did not have a TB test prior to beginning her job.

Plan of Correction: The provider will have the assistant # 2 obtain a TB screening and provide the verification. This will be done right away.

Standard #: 22VAC40-111-230-A
Description: Based on observation the provider did not maintain any documentation for the orientation done for the assistants. Evidence: 1. During the inspection the LI reviewed the files for assistant #'s 1 & 2 who were hired the first of 9/14 and 3/30/15. Neither file showed written documentation that orientation was done .

Plan of Correction: The provider began to document the required information during the inspection and will complete this as required.

Standard #: 22VAC40-191-60-B
Description: Based on observation the provider failed to obtain a sworn disclosure form on the newly hired assistant. Evidence: 1. During the inspection the LI reviewed the file of assistant # 2 who began working March 30, 2015. There was no sworn disclosure form in the file. The assistant had worked previously and the last form was signed 4/28/11.

Plan of Correction: The provider will have the assistant sign the form today and file it in the file of the assistant.

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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