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Ms. Maria Clark
1519 Moorman Avenue, NW
Roanoke, VA 24017
(540) 343-7810

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Oct. 6, 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.

Technical Assistance:
(Standard 22 VAC 40-111-570.) As requested, clarification was given to the Provider regarding the point system. No caregiver shall exceed 16 points at any time. Medication training requirements and a contact name was given to the Provider.

Comments:
An unannounced Renewal inspection was conducted in the Family Day Home on October 6, 2015. The LI observed 7 children in care during the inspection. Based on the ages of the children in care, the total points were 17. The Provider and two Assistants were supervising the children's activities. The Provider reported 11 children are currently enrolled. Upon the LI's arrival, the children were observed outdoors on the front porch with the caregivers. The children were also observed in the home during free play, a structured activity, the lunch meal and nap/rest time. The Provided reviewed the sound of alphabet "B" with the children. The children participated in a craft activity decorating paper balloons and the letter B. A sample of 4 children's records was reviewed. Records for the 3 caregivers were also reviewed. Documentation of the practiced emergency drills, emergency supplies and the first aid kit were reviewed. The Provider reported medications are not administered. Findings of the inspection were discussed at the exit. If you have any questions, please call (540)309-2310. The inspection was conducted from approximately 10:35AM to 1:20PM. Thank you for your support during this inspection.

Violations:
Standard #: 22VAC40-111-830-A
Description: Based on documentation review, the Provider failed to practice the emergency evacuation procedures monthly with all caregivers and children in care. Evidence: The LI reviewed posted documentation of the practiced evacuation drills. A drill was not documented for the month of August, 2015. A shelter-in-place drill was documented for August.

Plan of Correction: The Provider will ensure drills are practiced monthly and information documented on the log.

Standard #: 22VAC40-111-870-G
Description: Based on the LI's observations, the Provider failed to clean tables after each use. Evidence: The children were observed seated at a child's table participating in a craft activity. After the activity, the children lined up in the hall to enter the bathroom to wash their hands. The children were seated back at the table, a caregiver read a story to the children while all completed hand washing procedures. The table was not cleaned after the activities and before lunch plates were served.

Plan of Correction: All caregivers will ensure tables are cleaned prior to serving meals and snack foods.

Standard #: 22VAC40-111-900-A
Description: Based on observations by the LI during the lunch meal, the Provider failed to prepare foods before serving to children under four years of age in a manner that will reduce the risk of choking. Evidence: Five children, ages two to three years, were served whole hot dogs on a bun for lunch.

Plan of Correction: The caregivers will prepare foods by cutting hotdogs lengthwise before serving to the children. Caregivers will review the list of foods that are identified as choking hazards and will prepare foods to reduce the chance of choking.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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