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Ms. Angela Young
14213 Sharpshinned Drive
Gainesville, VA 20155-5833
(703) 754-4647

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Jan. 12, 2016

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
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:
Reminder: household member background checks are due to be repeated this Spring. Effective July 1, 2014, employees are prohibited from working in a position that involves direct contact with a person or child receiving services until a criminal record clearance has been received, unless that person works under the direct supervision of another employee for whom a background check has been completed. Direct supervision means that the employee will remain within sight and sound supervision of an employee with a completed background check.

Comments:
An unannounced monitoring inspection was conducted with provider and assistant. There were 13 day care children present, ranging in age from 10 months to age four. The children were having lunch, washing up, and preparing for rest time. Lunch served today: grilled cheese sandwich, mixed fruit cup, green beans, and milk. Four children's files and one staff file were reviewed - please see Supplemental Summary for missing items. There are no medications on site today. Please feel free to contact me if you have any questions at 540-219-4122 or e-mail tara.barton@dss.virginia.gov. Time of today's inspection: 10:45 a.m. to 12:15 p.m.

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on review of one staff record, the provider failed to document two references prior to hire. Evidence: Assistant 1 (date of hire 1/4/2016) did not have documentation of two references on file.

Plan of Correction: References were obtained but provider failed to document reference contact information from application.

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: the family day home has a licensed capacity of twelve. On 1/12/2016, there were thirteen day care children present.

Plan of Correction: It was my understanding that licensing standards stated a 30 day grace period when a child terminates care for a replacement to fill that space given same points or less.

Standard #: 22VAC40-111-60-B
Description: Based on review of four children's files, the provider failed to have all information in each child's file. Evidence: Child A did not have documentation of a second emergency contact name, address, and phone number.

Plan of Correction: Provider oversight. Second emergency contact was obtained at pickup on same day.

Standard #: 22VAC40-111-690-D
Description: Based on observation and staff interview, the staff failed to clean and sanitize the diaper pad as required. Evidence: after diapering a child, an assistant wiped the diaper pad with a disinfectant wipe. The diaper pad is to be cleaned with soap and water, sprayed with a sanitizer solution, and allowed to air dry for a minimum of two minutes.

Plan of Correction: Staff had been working for a total of four days. With training given, new dispensers purchased and signage in place to reinforce proper diaper changing policy.

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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