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Ms. Rachel Carter
766 Clearview Drive
Martinsville, VA 24112
(276) 790-3929

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Oct. 27, 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:
An unannounced monitor inspection was conducted on 10/27/2015. Upon arrival, there were a total of ten (10) children ages 6 months to 5 years old, the Provider and one (1) assistant present. Children present totaled 27 points under direct supervision of 2 caregivers. Provider does not administer medication and does not transport children. Provider continues to participate in the USDA Child Care Food Program. Children and staff records were reviewed during the inspection including three (3) records for recently enrolled children, and two (2) staff/household records. Previous violations were reviewed and have been corrected. Children were observed during various activities. Risk Assessment & areas of non compliance were reviewed with the Provider on 10/27/2015.

Violations:
Standard #: 22VAC40-111-600-B
Description: Based on observations, the Licensee failed to ensure infants & toddlers spend no more than 30 minutes of consecutive time during waking hours confined in a high chair. EVIDENCE: 2 toddler children were confined in infant/toddler high chairs for 40+ minutes. from 2:34pm until 3:25pm

Plan of Correction: Provider will use confined areas for eating only.

Standard #: 22VAC40-111-690-D
Description: Based on observations, the Licensee failed to sanitize diapering surfacing after each use. EVIDENCE: Diapering changing pad was not sanitized after each use. LI Anderson observed diapering activities for 4 children.

Plan of Correction: Provider will review diapering procedures with assistant.

Standard #: 22VAC40-111-690-E
Description: Based on observations, the Licensee failed to use a leak-proof or plastic lined storage system that is foot operated to dispose soiled disposable diapers & wipes. EVIDENCE: Soiled disposable diapers & wipes were put in a plastic bag hanging from the door knob on the bathroom door

Plan of Correction: Provider will use foot operated trash can for soiled diapers & wipes.

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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