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Belinda Lewis
1692 South Coolwell Road
Madison heights, VA 24572
(434) 929-1160

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Feb. 29, 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.

Comments:
An unannounced monitoring inspection was completed on 2/29/2016. The inspector arrived at 9:30 A.M. and departed at 12:45 P.M. Three children were in care at eight points with the licensee and one assistant caregiver. Three caregiver records were reviewed. Three children's records were reviewed. A physical plant walk-through was done. Discussion: about rating system, calming fussy infant, record keeping and organizing the office area to help ensure that all records can be located. Observed the children during: nap time, free play and lunch.

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on review of medication logs and authorizations, the licensee failed to ensure that all medications had an authorization. Evidence: 1. The inspector found that child # 1 has long term medication at the family day home, there was no documentation of authorization from the parent or physician to administer the medication.

Plan of Correction: The licensee printed the form during the inspection for the parent to complete as soon as possible. The medication will be sent home until the parent is able to obtain the physician's signature for a long term medication.

Standard #: 22VAC40-111-800-A
Description: Based on interviews with the licensee, the licensee failed to ensure that a written emergency preparedness and response plan was completed. Evidence: 1. The licensee stated that she could not locate the plan.

Plan of Correction: The licensee completed the model form during the inspection.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the licensee failed to ensure that the caregivers wash the hands of the children. Evidence: 1. The inspector observed the assistant caregiver feeding child # 3 and did not wash the child's hands.

Plan of Correction: Staff will make sure that all children's hand are washed prior to eating or given a bottle.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of licensee's record, the licensee failed to ensure that all repeat background were completed every three years. Evidence: 1. The inspector found that the licensee's CRC check expired on 2/28/2013. CRC backgrounds need to be repeat every three years.

Plan of Correction: The licensee stated that the background check was sent out 2/14/2016. In the future all backgrounds will be sent off in enough time to be returned prior to expirations.

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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