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Ms. Sabrina Wilson
1808-B Solomon Road
Charlottesville, VA 22901
(434) 382-7971

Current Inspector: Michelle W. Argenbright (540) 848-4123

Inspection Date: April 14, 2016 and April 15, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
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.

Comments:
Thank you for your time and assistance during the unannounced monitoring inspection conducted on April 14, 2016 between the hours of approximately 10:33 a.m. and 12:45 p.m. Twelve (12) children were enrolled and four children were present on this date (total of 10 points). One additional child and her parent were also present in the home (visiting). All children's records were reviewed and/or updated and one caregiver's record was reviewed (background clearances only). No medications were administered on this date. Facility documents, posted information and safety equipment were observed/reviewed. The lunch served on this date was observed to meet the United States Department of Agriculture (USDA) Child and Adult Care Food Program requirements and included: spaghetti with meat sauce; oranges; cucumbers; carrots; crackers and milk. Program observation was completed. Activities observed on this date included: indoor play; group activity - story; diapering and handwashing procedures; lunch; nap time; and infant care. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. Previously cited violations of the licensing standards (1/04/2016 inspection date) were reviewed for compliance; three repeat violations were cited. Refer to the Violation Notice for the exceptions to compliance (water temperature, children's records and physical exam reports). Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review and/or update of twelve (12) children's records and discussion with caregiver #1 on April 14, 2016, documentation of a physical examination was not on file for five children. Evidence: 1. Review of children's records, on this date, determined that documentation of a physical examination was not obtained prior to children's attendance or within 30 days after the first day of attendance for child A (enrolled 12/05/15), child G (enrolled 8/14/14), child H (enrolled 8/14/14), child K (enrolled 2/01/16) and child L (enrolled 1/12/16). 2. Caregiver A verified that physical exam reports were not on file for the children.

Plan of Correction: The children's parents will be contacted and documentation of physical examinations will be obtained. In the future, documentation of a physical examination will be obtained prior to a child's attendance or within 30 days after the first date of attendance.

Standard #: 22VAC40-111-60-B
Description: Based on review/update of twelve (12) children's records and discussion with caregiver #1 on April 14, 2016, all children's records did not contain complete information. Evidence: 1. Review of children's records, on this date, determined that the following children's records did not include complete emergency contact information: records of children G and H did not include complete addresses of two contacts; the record of child L did not include the house # of one emergency contact; and the records of children I, J and K did not include a second emergency contact. 2. Review of children's records, on this date, determined that the record of child I did not include the parent's signed acknowledgement of the "Provisions of the Emergency Preparedness and Response Plan." 3. Caregiver #1 confirmed that the above information was not included in the children's records.

Plan of Correction: The children's parents will be notified and the records will be reviewed and updated to include all required information/documents. In the future, children's records will be reviewed at the time of enrollment to ensure all required information/documents are obtained.

Standard #: 22VAC40-111-350-E
Description: Based on observation, measurement of the water temperature and discussion with caregiver #1 on April 14, 2016, the hot water available to the children was not maintained within a range of 105 degrees F to 120 degrees F. Evidence: 1. Observation and measurement of the water temperature (as measured in the bathroom used by the children in care) determined that the temperature exceeded 120 degrees F. The water measured 130 degrees F on this date. 2. Caregiver A acknowledged that there had been difficulty with the municipal water supply and she had made an effort to reduce the water temperature.

Plan of Correction: The setting on the water heater will be lowered to ensure the water measures between 105 degrees F and 120 degrees F, in the bathroom used by the children. The children will be supervised in the bathroom until the water temperature has been reduced. The water temperature will be periodically checked, to ensure it remains in the required temperature range.

Standard #: 22VAC40-111-460-D
Description: Based on observation, review of records and discussion with caregiver #1 on April 14, 2016, the caregiver failed to ensure documentation of a current rabies vaccination was maintained for one cat. Evidence: 1. On this date, a current rabies vaccination had not been obtained for one cat. The cat was present in the home during the licensing inspection. 2. Caregiver 1 confirmed that a current rabies vaccination had not yet been obtained for the cat.

Plan of Correction: The plan is to schedule the rabies vaccination within the next two weeks. A rabies vaccination will be obtained and maintained for the cat.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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