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Ms. Sharon Gregory
21467 Twin Hill Lane
Carrollton, VA 23314
(757) 357-5189

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: Dec. 10, 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.
22VAC40-80 THE LICENSING PROCESS.
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 monitoring inspection was conducted from 11:40am to 1:15pm. At the time of inspectors arrival there were 10 children, ages 7mos to 5 years, for a total of 31 points, in care with the provider and one assistant provider. The records sample size consisted of 3 children's records and 3 provider / substitute/ household member records. Children were observed playing outdoors, indoor play, and transitioning between activities. The provider stated that no medication is administered to children while in care and there have been no injuries since the last inspection. Areas of noncompliance are identified in the violation notice and were discussed with the provider during the meeting at the conclusion of this inspection.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on record review it was determined that the provider did not ensure that an annual review of the emergency plan was conducted and documented annually. Evidence: The last documented review of the emergency plan was dated 2013.

Plan of Correction: The provider will review and document the review of the emergency plan.

Standard #: 22VAC40-111-60-A
Description: Based on a record review it was determined that the provider did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child #1(enrolled 6/19/15) did not contain the address of one of the two required emergency contacts. 2. The record for child #2(enrolled 5/26/15) did not contain the addresses of the two required emergency contacts. 3. The record for child #3(enrolled 11/10/15) did not contain the address of one of the two required emergency contacts, address for father's place of employment, medical insurance policy number and signed information for parents.

Plan of Correction: Provider will get the missing information from the parents at pick-up.

Standard #: 22VAC40-111-180-A
Description: Based on record review it was determined that the provider did not ensure that a current report of Tuberculosis Screening form was obtained every two year from the date of the first screening for each caregiver. Evidence: The provider did not have a current report of TB screening form. The last TB screening form was dated 10/30/13.

Plan of Correction: Provider will get TB screening completed.

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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