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Ms. Tanya Reynolds
1060 Palm Avenue NW
Roanoke, VA 24017
(540) 795-5175

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: April 7, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was done today April 7, 2016 beginning at 11:00 AM and ending at 2:30 PM. There were eight children in care with the provider and her assistant. Points were at twenty-one and in compliance. Two children left shortly after the inspector arrived. The children were active in free play activities and then the assistant read a story to the children. They watched a movie while lunch was being prepared. Lunch and nap was also observed. There are no medications given at this family day home. The provider continues to participate in the USDA food. The inspector reviewed the files of the household members and the assistant. A sample of children's files were also reviewed. The violations and corrective action were reviewed today with the provider. If you have any additional questions, please contact the inspector at 540-309-2835.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on observation the provider did not obtain all of the required information for the children in care. Evidence: 1. During the inspection the LI reviewed the files of three newly enrolled children. Child # 2 who enrolled in 12/15 and did not have verification of a physical in the file.

Plan of Correction: The provider indicated the child has an appointment with the physician on 4/28/16 and she will have the parent bring the verification of the physical to her when completed.

Standard #: 22VAC40-111-60-B
Description: Based on observation the provider did not have all of the required information in the files of the children enrolled. Evidence: 1. During the inspection the LI reviewed the files of three newly enrolled and two other children's files. Child # 8 did not have the addresses for the two listed emergency contacts and physician's phone number. This child enrolled 9/8/15.

Plan of Correction: The provider will obtain the needed information from the parent today and document it in the file.

Standard #: 22VAC40-111-90-A
Description: Based on observation the provider did not obtain all of the required information for the children in care, Evidence: 1. During the inspection the LI reviewed the files of three newly enrolled children. Child # 2 enrolled in 12/15 did not have verification of immunizations in the file.

Plan of Correction: The provider indicated she had the immunizations but she could not find them. The child has an appointment this month , 4/28/16 and the provider will have the parent bring in the verificaiton.

Standard #: 22VAC40-111-170-A
Description: Based on observation the provider did not have TB tests done for all household members. Evidence: 1. During the inspection the LI reviewed the file of the new household member # 2. There was no documentation that a TB test had been done. This was also verified by the provider during discussion.

Plan of Correction: The provider will have the household member obtain the required TB test.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on observation the provider did not have all the required background checks for household members. Evidence: 1. During the inspection the LI reviewed the files of household member # 2 and there was no child protective service and criminal history checks in the file. The household member moved into the household in 12/15.

Plan of Correction: The provider will send for the background checks by the first of next week. She had already obtained the money orders for them.

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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