Ms. Tanya Reynolds
1060 Palm Avenue NW
Roanoke, VA 24017
Current Inspector: Jensen Mellnick (540) 309-2051
Inspection Date: Oct. 19, 2015
Complaint Related: No
- Areas Reviewed:
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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
An unannounced renewal inspection was done today October 19, 2015 beginning at 9:20 AM and ending at 1:30 PM. There were five children in care with the provider and assistant when the inspector arrived. Another child arrived later in the morning. Points were at sixteen and in compliance. The children were playing with a variety of toys and reviewing letters/sounds with the assistant. The assistant was also reading a story to the children. The provider and assistant were also busy feeding the infants and then lunch to the older children. Nap was also observed. There is no medication given at this home. The inspector reviewed children and providers files. The assistant had just begun working today. The former assistant's last day was October 16, 2015 due to maternity leave. The violations cited today were discussed with the provider as well as the corrective action. If you have any additional questions, please call the inspector at 54-30902835.
Standard #: 22VAC40-111-960-G Description: Based on observation the provider failed to heat an infant formula by a means other than a microwave. Evidence: 1. During the inspection the LI observed the provider heating an infant formula bottle in the microwave for less than thirty seconds per the provider as she was taking the chill off. Plan of Correction: The provider indicated she will not heat the bottles in the microwave any longer for any length of time.
Standard #: 22VAC40-111-100-A Description: Based on observation the provider failed to obtain verification of a physical for a child within thirty days of attendance. Evidence: 1. During the inspection the LI reviewed the files of eight children. Children # 2,4,6& 9 did not have verification of a physical. The children had been attending since 9/8/15 and 3/7/14. Plan of Correction: The provider will obtain the needed physical from the parents. She will obtain these in the future same as the immunization.
Standard #: 22VAC40-111-60-B Description: Based on observation the provider failed to obtain all of the required information for the children's files. Evidence: 1. During the inspection the inspector reviewed eight children's files. Of those children # 2-4, & 9 did not have the two required emergency contact information. The file for child # 8 had only one emergency contact. Child # 1 was missing their birth verification. Plan of Correction: The provider indicated she will obtain the missing information from the parents.
Standard #: 22VAC40-111-90-A Description: Based on observation the provider failed to obtain the required immunizations for all of the children enrolled. Evidence: 1. The LI reviewed the files of eight children and children # 4 & 9 were in need of the required immuizations prior to attendance. Plan of Correction: The provider will obtain the needed immunizations from the parents. She will obtain these in the future prior to the child's attendance.
Standard #: 22VAC40-111-210-A Description: Based on observation the provider failed to obtain the 16 hours of required training during the past year. Evidence: 1. During the inspection the LI observed the files of the provider and she had only obtained twelve hours of the required sixteen hours of annual training. Plan of Correction: The provider will begin to go to workshops when available in addition to viewing videos. This will apply to her assistant as well.
Standard #: 22VAC40-111-530-B Description: Based on observation the provider failed to keep tight fitting sheets on the infant cribs. Evidence: 1. During the inspection the LI observed one of the infants, child # 2 was placed in a crib with a sheet that was not tight fitting. Plan of Correction: The provider indicated she will make sure the sheets are in a tight fit position when the infants are laid down in the cribs.
Standard #: 22VAC40-111-690-D Description: Based on observation the LI observed staff # 1 changing the diaper of one of the children. Afterwards, she washed the surface with soap/water then sanitized with a disposable wipe instead of using spray disinfectant. Plan of Correction: The provider had a can of lysol spray in the cabinet but forgot to tell the new assistant . She will review this procedure during the orientation with the new assistant.
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.