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Ms. Teresa Taylor
15239 Friendship Road
Glade spring, VA 24340
(276) 429-5929

Current Inspector: Shirl M. Spencer (276) 608-3758

Inspection Date: July 7, 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
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
The licensing inspector conducted an unannounced monitoring inspection from 9:40am - 11:40am. There were nine children in care for a total of twelve points with one caregiver. The children were observed at free play, having morning snacks and playing outside. One caregiver, one household member and five children's records were reviewed. Violations from the previous inspection were also reviewed and one violation was repeated. Areas of non-compliance are identified on the violation notice. If you have any questions, please contact your licensing inspector at (276) 676-5634. Thank you for your cooperation.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record reviews, the family day home failed to obtain documentation of a physical examination. Evidence: 1. The inspector reviewed five children's records. Four of five records reviewed (children's records #2, #3, #4 and #5) did not contain documentation of a physical examination and children have been in care for more than 30 days. Child #2's date of enrollment was 5/21/15, child #3's date of enrollment was 5/21/15, child #4's date of enrollment was 6/1/15 and child #5's date of enrollment was 6/1/15.

Plan of Correction: The provider will remind the children's parents that documentation of a physical examination is need for their child's record. In the future, the provider will obtain documentation of a physical examination within 30 days of enrollment. The provider will review the children's records monthly to ensure all contain documentation of a physical examination.

Standard #: 22VAC40-111-60-B
Description: Based on record reviews, the family day home failed to obtain all required information for the children's records. Evidence: 1. The inspector reviewed five children's records. Four of five records reviewed (children's records #2, #3, #4 and #5) did not contain the following information: name, address, phone for parent's place of employment, name, address, phone for child's physician, medical insurance and policy number, name, address, phone for two emergency contacts, names of people who can pick up child and allergies and any chronic physical problems.

Plan of Correction: The provider will remind the children's parents today to complete and return the blank documents that she provided to obtain this information. The provider will review the children's records monthly to ensure all information is complete.

Standard #: 22VAC40-111-70-A
Description: Based on record reviews, the family day home failed to provide the parents all required information in writing. Evidence: 1. The inspector reviewed five children's records. Four of five records reviewed, (children's records #2, #3, #4 and #5) did not contain the following documents with the parent's signatures: information for parents form, child's emergency medical authorization, the family day home's policy for the administration of medication, the family day home's liability insurance declaration and the the provisions of the family day home's emergency preparedness and response plan.

Plan of Correction: The provider has given these documents to the parents, but the parents have not returned the signed forms. The provider will remind the parents to read, complete, sign and return these documents for the children's records. The provider will review the children's records monthly to ensure all information is complete.

Standard #: 22VAC40-111-80-D
Description: Based on record reviews, the family day home failed to obtain proof of identity and age within seven business days of child's first day of attendance and did not notify the local law-enforcement agency. Evidence: 1. The inspector reviewed five children's records. Two of five records reviewed (children's records #2 and #5) did not contain verification of proof of identity and age and child #2's date of enrollment was 5/21/15 and child #5's date of enrollment was 6/1/15. The provider did not contact the local law-enforcement agency.

Plan of Correction: The provider will remind the children's parents today that documentation of proof of identity and age is needed for the children's records. In the future, the provider will make sure that documentation of proof of identity and age is obtained within seven business days. The provider will review the children's records monthly to ensure all contain proof of identity and age.

Standard #: 22VAC40-111-90-A
Description: Based on record reviews, the family day home failed to obtain documentation of immunizations. Evidence: 1. The inspector reviewed five children's records. Four of five records reviewed, (children's records #2, #3, #4 and #5) did not contain documentation of immunizations.

Plan of Correction: The provider will remind the children's parents that documentation of immunizations is needed for the children's records. In the future, the provider will obtain immunizations documents before the child comes into care.

Standard #: 22VAC40-111-180-A
Description: Based on record reviews, the family day home failed to obtain a repeat tuberculosis screening. Evidence: 1. The inspector reviewed one caregiver's record. Caregiver #1's tuberculosis screening was over two years old. The last screening was dated 6/11/13.

Plan of Correction: The provider will contact the health department and schedule a tuberculosis screening. The provider will review the adult records quarterly to ensure all information is up to date.

Standard #: 22VAC40-111-460-C
Description: Based on record reviews, the family day home failed to have current rabies vaccinations for two pets. Evidence: 1. The inspector reviewed the family day home's pet records. One cat's rabies vaccination expired 5/10/15 and one dog's rabies vaccination expired 6/12/15.

Plan of Correction: The provider will schedule an appointment to get the pet's rabies vaccinations updated. The provider will review the pet's vaccination records quarterly to ensure all remain current.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the family day home failed to have children wash their hands before eating. Evidence: 1. The inspector observed the children having a morning snack. The children did not wash their hands before eating.

Plan of Correction: In the future, the provider will monitor the children more closely to ensure they wash their hands before eating.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record reviews, the family day home failed to obtain a background check on an 19 year old residing in the home. Evidence: 1. The inspector reviewed one household record. Household member record #1 did not contain a criminal history record check and household member #1's date of birth is 10/02/95. Household member record #1did contain a search of the central registry and sworn disclosure statement. Household member record #1 did contain a criminal history record check obtained by another agency.

Plan of Correction: The provider has submitted a criminal history record check for household member #1, but it has not been returned. When the check is obtained, the licensing office will be notified. The provider will review the household member's records quarterly to ensure all information is complete and up to date.

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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