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Ms. Mary Thomas
22237 Lincoln Circle
Damascus, VA 24236
(276) 475-3935

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: Sept. 25, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
The licensing inspector conducted an unannounced renewal inspection from 9:25am - 11:10am. There were three children in care for a total of ten points with two caregivers. The children were observed at free play and watching cartoons. Three adult and two children's records were reviewed. Violations from the previous inspection were also reviewed and two were repeated. Areas of non-compliance are identified on the violation notice. If you have any questions, please contact your licensing inspector at (276) 608-3758. Thank you for your cooperation.

Violations:
Standard #: 22VAC40-111-70-A
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 two children's records. One of two records reviewed (child record #1) did not contain the policy number for the child's medical insurance.

Plan of Correction: The provider has already requested this information, but will request it again. The provider will review the children's records quarterly to ensure all information is complete.

Standard #: 22VAC40-111-350-E
Description: Based on observation, the family day home failed to maintain the hot water temperature within the acceptable range of 105 to 120 degrees. Evidence: 1. The inspector used the thermometer to measure the hot water temperature. The hot water temperature measured 129 degrees.

Plan of Correction: The provider has already turned down the hot water heater, but this has not helped. The provider will purchase a scald guard and place on the sink. The children will be monitored closely while hand washing until the scald guard is installed.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record reviews, the family day home failed to obtain repeat background checks. Evidence: 1. The inspector reviewed three adult records. Two of three records reviewed (adult record #1 and #2) contained criminal history record checks that were more than three years old. Adult record #1's criminal history record check was dated 05/30/12 and adult record #2's criminal history record check was dated 05/21/12. The sworn disclosure statements and the searches of the central registry were current.

Plan of Correction: The provider has already requested repeat criminal history record checks for adult records #1 and #2, but to date has not received them. The provider will contact the Virginia State Police Central Criminal Records Exchange and inquire about the status of these background checks. The provider will review the adult records quarterly to ensure all information is 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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