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Ms. Sharon Gregory
21467 Twin Hill Lane
Carrollton, VA 23314
(757) 357-5189

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: May 20, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
Inspector spoke with provider about the documentation of annual training during this inspection.

Comments:
An unannounced monitoring inspection was conducted from 9:55am to 11:00am. At the time of inspector's arrival there were 11 children, ages 8 mos to 4 years, for a total of 27 points, in care with the licensee and an assistant provider. The records sample size consisted of 4 children's records and 3 provider / assistant/ household member records. Children were observed engaging in outdoor play, creative play, and infant activities. The licensee states that no medication is administered to children while in her care. The licensee also reported there were no incident reports since the last inspection. Areas of noncompliance were identified in the areas of administration, physical environment, emergencies and background checks and are detailed in the violation notice. The areas of noncompliance were discussed with the provider during the exit meeting at the conclusion of this inspection.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on record review and interview, it was determined that the provider has not reviewed the emergency preparedness plan at least annually as required. Evidence: 1. The last documented review of the emergency preparedness plan was dated 11/1/13. 2. The provider stated that she had not documented the review of the plan but none of the information had changed.

Plan of Correction: Provider will review and document the review of the emergency preparedness plan.

Standard #: 22VAC40-111-830-B
Description: Based on record review and interview, it was determined the provider did not ensure that shelter-in-place procedures were practiced a minimum of twice per year. Evidence: 1. The last documented shelter-in-place drill was 10/22/13. 2. The provider stated that she had been forgetting to have shelter-in-place practice drills.

Plan of Correction: Provider will conduct a shelter-in-place practice drill and document this practice.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview, it was determined that the provider did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child #3(enrolled 8/29/14) did not contain the required medical insurance policy number. 2. The provider could not provide this documentation during the inspection.

Plan of Correction: Provider will have parent provide the medical insurance number for child at pick-up.

Standard #: 22VAC40-111-240-A
Description: Based on observation, it was determined that the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a safe condition. Evidence: The bookcase in the nap room had sections of peeling laminate on the outer section, these pieces were at child height and accessible to the children in care, presenting potential choking hazards. Children were observed playing in this room through out the inspection.

Plan of Correction: Provider will repair the bookcase.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record review and interview, it was determined that the provider failed to ensure that the family day home operator and any person living in the family day home have updated sworn statements before three years since the dates of the last sworn statements. Evidence: 1. The assistant/substitute provider's last criminal history record check was dated 5/11/12. 2. 1. The assistant/substitute provider's last central registry finding was dated 5/8/12. 3. The provider stated that they were aware these documents had expired and are going to get the central registry finding form notarized and send them to the appropriate agencies.

Plan of Correction: The provider will get the central registry finding form notarized and send both record requests to the appropriate agencies.

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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