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Ms. Belinda Hubble
865 West Madison Street
Wytheville, VA 24382
(276) 620-9502

Current Inspector: Sara Hutton-Tallman (276) 608-3749

Inspection Date: Feb. 22, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 Child Abuse and Neglect
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 renewal inspection was conducted today, 2/22/16. The violations from the previous inspection have been corrected. A violation notice was completed regarding the violations found during today's inspection, there is one repeat violation. Upon arrival to the home the two children in care were napping. Records were reviewed for compliance and a walk through the house was also conducted. Should you have any questions please do not hesitate to call. Inspection began: 11:30 am to 2:30 pm.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on review of the children's records during the renewal inspection on 2/22/16 the provider failed to get all the required information. Evidence: 1. Children's records 9, 11, 12 do not have an address or phone number for the physician listed.

Plan of Correction: The provider will have the parents get this information for her. If they do not supply this then she will look online to see if it is listed.

Standard #: 22VAC40-111-140-B-4
Description: Based on review of records the provider failed to have a current first aid certification. Evidence: 1. The provider does not have documentation of a current first aid certification.

Plan of Correction: The provider stated that she completed this certification about two years ago and was not given the certification card. The provider has attempted to call the instructor to check on the card and no calls have been returned. The provider will contact the local rescue squad to see if they have any trainings coming up that she can attend.

Standard #: 22VAC40-111-260-E
Description: Based on observation of the house the provider failed to empty a mop bucket filled with water. Evidence: 1. Located in the kitchen area, accessible to the children, is a mop bucket filled with water. The water was placed in the bucket during the morning hours.

Plan of Correction: The provider will begin today mopping directly after filling the bucket and then empty the water out.

Standard #: 22VAC40-111-460-C
Description: Based on review of the household animal files the provider failed to have an up to date rabies shot for the dog. Evidence: 1. The providers dogs rabies shots expired 2/7/16.

Plan of Correction: The provider will get these shots this weekend.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of records the provider failed to get the repeat background checks. Evidence: 1. Staff # 1, 2, 3 have a criminal history record that expired 5/23/15 2. Staff # 1, 2, 3 have a central registry checks that expired 5/25/15.

Plan of Correction: The provider stated that the background checks have been mailed off last week. The provider will ensure that in the future all repeat checks are conducted prior to the background checks expiring.

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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