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Ms. Sandra Bundy
904 White Street
Fredericksburg, VA 22401
(540) 479-6270

Current Inspector: Morgan P Bryson (540) 270-0057

Inspection Date: May 19, 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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced monitoring inspection was conducted from 10:45 am - 11:45 am. There were three children in care with the provider ages 16 months, 21 months, and 2 years for a total of 8 points. The children were observed participating in free play. Lunch served today is tuna sandwich on wheat bread, green beans, watermelon, and milk. Three children's records were reviewed. The provider's record was reviewed and in compliance. The provider is current in CPR and First Aid. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.l.allen@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on documentation of three children's records it was determined that the provider did not obtain a physical for all children within the first 30 days of enrollment. Evidence: Child B with a start date of 11/17/2015 did not have documentation of a physical on file.

Plan of Correction: The provider will request an up-to-date physical from the parents of child B.

Standard #: 22VAC40-111-60-B
Description: Based on observation of three children's records it was determined that not all records were complete. Child A with a start date of 5/9/2016 did not have documentation of verification of identity such as birth certificate, proof of birth letter, or passport.

Plan of Correction: The provider will request proof of identity from the parent of Child A.

Standard #: 22VAC40-111-90-A
Description: Based on observation of three children's records it was determined that not all records contained documentation of immunizations before the child's first day of enrollment. Evidence Child A with a start date of 5/9/2016 and Child B with a start date of 11/17/2015 did not have documentation of immunizations on file.

Plan of Correction: The provider will request a copy of up-to-date immunizations from the parents of child A and child B.

Standard #: 22VAC40-111-320-E
Description: Based on observation of the family day home it was determined that not all portable heaters were inaccessible to children. Evidence: The LI (Licensing Inspector) observed a portable electric heater on the floor accessible to children.

Plan of Correction: The provider turned off the heater during the inspection and will move the heater to an area inaccessible to children.

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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