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Ms. Ashley Simons Crouch
91 Bellwood Drive
Lynchburg, VA 24501
(434) 382-7628

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Sept. 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced renewal visit was conducted today 09/09/2015. There were 11 children in care at a total of 34 points with the licensee and three assistants. The Inspector arrived at 10:15 am and departed the program at 1:00 pm. The inspector reviewed five children's records, the licensee's, three assistant's and one household member's record. Observed the children during: free play, dancing, story time, lunch and nap. Discussion with the licensee about: record clean up in household member and staff records, relocating the violation notice, using the model form for the emergency preparedness plan and outside play.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on review of the emergency preparedness plan, the licensee failed to annually review plan. Evidence: 1. The inspector reviewed the plan and found that it was last updated on 10/15/2013.

Plan of Correction: The licensee updated the plan during the inspection and will monitor annually.

Standard #: 22VAC40-111-120-A
Description: Based on review of three staff records, the center failed to ensure that all records were complete. Evidence: 1. The inspector found that staff # 1 and 2 did not have verification of age.

Plan of Correction: The licensee will have the staff to bring in documentation for verification of age.

Standard #: 22VAC40-111-30-C*
Description: Based on observation and staff's record review the licensee failed to ensure that all staff had a returned background check prior to being alone with children. Evidence: 1. The inspector found that staff # 1 was hired on 9/1/2015 did not have a returned CRC check and was alone with three children. The licensee was in another room with additional children children.

Plan of Correction: The licensee will change the schedule of staff to ensure that all staff that are alone with children are with a staff person that has a returned CRC check.

Standard #: 22VAC40-191-60-C-1
Description: Based on review of four staff records, the licensee failed to ensure that all CRC checks were returned. Evidence:s 1. The inspector found that staff # 2 did not have a returned CRC check with in 30 days of hire. The CRC was returned on 6/24/2015 and the hire date was 4/8/2015.

Plan of Correction: In the future the licensee will document when the CRC's are returned for any reason and will monitor.

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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