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Mrs. Regina Christmas
127 Allen Lane
Palmyra, VA 22963
(434) 589-7971

Current Inspector: Barbara Workman

Inspection Date: July 14, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 General Provisions.
63.2 Facilities and Programs..
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 monitoring inspection was conducted from 9:24 a.m. - 11:25 a.m. There were eight children in care with the provider and then also an assistant. Two children's records were reviewed. The record for the assistant was reviewed. The children were observed singing songs from memory, working on the art project for Happy The Hippo, watching The Fox and Hound, talking with one another and their teachers, during diapering, hand washing and engaged in social skill activities. Areas of non-compliance are identified on the violation notice. Should you have any questions please telephone your licensing inspector at (540) 430-9257.

Violations:
Standard #: 22VAC40-111-60-A
Description: Based on record review there was one child present who did not have a folder to review. Evidence: 1. On 07/14/2015 the provider advised she could not find the record for child #1.

Plan of Correction: This child has been in care for two years and there is a folder. I am confident that I will find it later this afternoon.

Standard #: 22VAC40-111-570-A
Description: Based on observation the provider failed to have another caregiver present when there were eight children in care equaling seventeen points. Evidence: 1. On 07/14/2015 the licensing inspector noted there were eight children in care totaling seventeen points with only the provider for approximately 5 to 10 minutes. 2. On 07/14/2015 the provider confirmed there were eight children present for a total of seventeen points for approximately 5 - 10 minutes in her care only until the assistant came into work.

Plan of Correction: Today is unusual as my regular assistant had to go to court so being without another caregiver should not be an issue in the future.

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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