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Ms. Deanna Southern
41 Winding Way Road
Boones mill, VA 24065
(540) 334-5437

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Oct. 16, 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
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted in the Family Day Home on October 16, 2015. The LI observed 10 children in care upon arrival, the children's ages ranged from infancy to preschool. Based on the children's ages, the point total was 27 points. The Provider and an Assistant were present and attended to the children's needs. The Provider reported 16 children are currently enrolled. Three additional school-age children arrived by bus after school. A call was received by the Provider to report that a fourth child would not be attending on this date. A discussion was held with the Provider regarding the total number of children receiving care at any one time. The Provider is responsible to ensure the number does not exceed the maximum licensed capacity of the home, 12 children. The LI reviewed a sample of 5 records, 1 caregiver and 4 children's. A prescribed emergency medication and written authorization to administer was reviewed for a child. The children were observed during varied activities including hand washing procedures, free play, afternoon snack, and outdoor play. The child care area was found clean, orderly and was supplied with age appropriate toys and equipment for the children's use. The children had completed a craft activity. Documentation of the practiced emergency drills and the first aid kit was reviewed. Dismissal procedures at the end of the program day were also observed. Findings of the inspection were reviewed with the Provider at the exit. The on-site inspection was conducted from approximately 2:00 to 5:30PM. If you have any questions, please call (540) 309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on a sample review of children's records, the Provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: One of four children's records reviewed by the LI did not contain documentation of a physical examination. The record for child #1. noted first date of attendance as 09/16/15, documentation of a physical examination was not in the record for review.

Plan of Correction: The Provider will remind the child's parent to ensure documentation of a physical is provided for record retention. All children's records will contain documentation of a completed physical exam.

Standard #: 22VAC40-111-500-C
Description: Based on observations, the Provider failed to ensure stationary outdoor playground equipment was not installed over a hard surface. Evidence: The LI observed several children swinging on the outdoor playground equipment. The LI observed areas of bare ground extending beyond the rubber mats which were placed underneath the swing seats.

Plan of Correction: The Provider will cover the bare areas under the swings with sod strips. The children will not use the swings unless grass or rubber mats are covering the ground areas of the swing set.

Standard #: 22VAC40-111-680-A
Description: Based on observations of the LI, caregivers failed to wash their hands with liquid soap and warm running water before preparing and serving food and before feeding or helping children with feeding. Evidence: The LI observed a caregiver measure powder formula and prepare a bottle for an infant without washing her hands. Another caregiver was observed holding this infant and feeding the bottle to the infant; this caregiver did not wash her hands prior to feeding the child.

Plan of Correction: All caregivers will wash their hands prior to preparing/serving foods and before feeding or assisting children with food.

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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