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Ms. Marlene Campbell
4812 Lytham Drive S.W.
Roanoke, VA 24018
(540) 685-2852

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Dec. 7, 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:
Clarification given regarding cleaning tables (Standard 870.G.) Tables and high chair trays shall be cleaned after each use, but at least daily.

Comments:
An unannounced Renewal Inspection was conducted in the Family Day Home during the morning on December 7, 2015. The LI observed 7 children in the care of the Provider and an Assistant. As reported, nine children are enrolled. Based on the ages of the children observed in care at the time of the inspection, the point total was 18. The children were observed during free play in two rooms. The lunch meal was also observed. A sample of 6 children's and 3 caregiver's records were reviewed. Documentation of the emergency drills and plan were reviewed. Diapering and hand washing procedures were observed. The Provider reported two children are transported from school to the FDH in the afternoon. Reportedly, medications are not administered. Findings of the inspection were reviewed on the same day with the Provider at exit. If you have any questions, please call (540)309-2310 or e-mail: elaine.moore@dss.virginia.gov Thank you.

Violations:
Standard #: 22VAC40-111-760-A-1
Description: Based on the LI's observations, the Provider failed to ensure all required emergency supplies were available in the Family Day Home. Evidence: The LI inspected the family day home's first aid kit, antiseptic cleaning solution or pads were not in supply.

Plan of Correction: The Provider will purchase an antiseptic cleaning solution and will add to first aid kit. The first aid kit will be monitored to ensure all items are available in the FDH and in the vehicle whenever children are transported.

Standard #: 22VAC40-111-880
Description: Based on the LI's observations, the Provider failed to offer second helpings of food listed in the child care food program meal patterns to the children. Evidence: The LI observed the children during the lunch meal. The children were served small portions. Two children, close to four and five years old, ate all foods that were served. One child picked their plate up from the table and licked it clean. The Provider did not ask the children if they would like additional food.

Plan of Correction: The Provider will have extra prepared foods available and will ask the children if they want seconds after they have eaten their meal.

Standard #: 22VAC40-111-120-B
Description: Based on documentation reviewed, the Provider failed to maintain a complete record for each caregiver. Evidence: The LI reviewed the record of caregiver #1, there was no documentation to support that two or more references as to character and reputation as well as competency were checked before employment. The LI observed the model forms in the individual's record with the identified names of reference contacts.

Plan of Correction: The Provider will contact the references and will document their responses. The reference information will be maintained in the caregiver's record.

Standard #: 22VAC40-111-130
Description: Based on the LI's observations and documentation reviewed, the Provider failed to ensure a caregiver had met the requirements specified in 22 VAC 40-191, Background Checks for Child Welfare Agencies. Evidence: 1. At the time of the inspection, the LI observed caregiver #1 working as an Assistant in the FDH. 2. The LI reviewed the record of Caregiver #1, the Provider reported date of employment was 10/25/2015. The reviewed documentation of the criminal record report was sent on 11/16/2015 and returned as incomplete on 11/20/2015. There was no verified criminal record report in the record when reviewed on 12/07/2015. 3. There was no documentation of a verified CPS Search of the Central Registry in the record of caregiver #1. There was no documentation available to support the date the form was submitted to the appropriate agency, the Provider reported the individual had mailed the request.

Plan of Correction: The caregiver will not work in the FDH until both background checks have been verified. The Provider will check on the status of the forms.

Standard #: 22VAC40-111-150-D-1
Description: Based on reviewed documentation, the Provider failed to ensure caregivers whom are transporting the children from school have current certification in CPR. Evidence: The two individuals, Caregivers 2 and 3 are identified on the information form that is given to parents as responsible for providing transportation at times for the children. The certification in CPR expired 07/15 and 10/15 respectively.

Plan of Correction: The Provider will schedule a time for each caregiver to attend a training to complete an updated certification in CPR.

Standard #: 22VAC40-111-150-D-2
Description: Based on reviewed documentation, the Provider failed to ensure caregivers whom are transporting the children from school have current certification in first aid. Evidence: The two individuals, Caregivers 2 and 3 are identified on the information form that is given to parents as responsible for providing transportation at times for the children. The certification in first aid expired 07/15 and 10/15 respectively.

Plan of Correction: The Provider will schedule a time for each caregiver to attend a training to complete an updated first aid certification.

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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