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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Rachel Carter
766 Clearview Drive
Martinsville, VA 24112
(276) 790-3929

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: March 21, 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
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.

An unannounced monitor inspection was conducted on 3/21/2016. Upon arrival, there were a total of nine (9) children ages11 months to 5 years old, the Provider and the substitute provider present. An additional assistant arrived during the inspection. Children present totaled twenty-two (22) points under direct supervision of 3 caregivers. Provider does not administer medication and does not transport children. Provider continues to participate in the USDA Child Care Food Program. Children and staff records were reviewed during the inspection new household member/substitute provider and three (3) staff/household records. Previous violations were reviewed and have been corrected. Risk Assessment & areas of non compliance were reviewed with the Provider on 3/21/2016.

Standard #: 22VAC40-111-120-B
Description: Based on record review, the Licensee failed to have required documentation for substitute provider. EVIDENCE: Record for Substitute Provider #4 did not include verification of age, job title, date of employment, emergency information, 2 or more reerences

Plan of Correction: We will complete today

Standard #: 22VAC40-111-120-C
Description: Based on record review & discussion with the Provider, the Licensee failed to keep records documenting the time time of arrivals and departure for substitute provider. EVIDENCE: Time & attendance records are not maintained for substitute provider #4

Plan of Correction: Will do this all today

Standard #: 22VAC40-111-180-A
Description: Based on record review, the Licensee failed to obtain a report of tuberculosis screening every 2 years from the date of the most recent screening. EVIDENCE: Record for Household Member #2 did not include documentation of an updated TB test/screening. Most recent TB test/screening was completed on 10/21/2013.

Plan of Correction: I am certain its here, will get a copy or fix this one

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, the Licensee failed to have sworn statement or affirmation completed when a new person begins residing in the home. EVIDENCE: Household Member #4 has not completed Sworn Disclosure. Household Member began residing in the family day home on Feb 22, 2016

Plan of Correction: She will update all papers

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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