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Ms. Teresa Sowers
80 Dunlap Drive
Christiansburg, VA 24073
(540) 381-5414

Current Inspector: Sara Hutton-Tallman (276) 608-3749

Inspection Date: May 25, 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
22VAC40-80 THE LICENSE.
63.2 General Provisions.
63.2 Child Abuse and Neglect
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:
The licensing inspector conducted an unannounced monitoring inspection, at which play groups, and outdoor time were observed. Children were observed; and staff and children files and other documentation were reviewed. Five (5) children were found to be in care totaling 9 points with the provider and assistant present. Previous violations were reviewed, and two (2) of the violations from the previous inspection had not been appropriately corrected. Please contact me if you need further assistance. Thank you for your cooperation. This inspection began at 8:50am and concluded at 10:25am.

Violations:
Standard #: 22VAC40-111-760-A
Description: Based on discussions with the provider compliance was not met with this standard as required relating to the entire FA kit. Evidence: The FA kit was not able to be found/located during the inspection.

Plan of Correction: If the FA kit is not found, another kit will be purchased over the weekend so compliance can be met. The FA kit will be placed in a location that can be readily accessible and as well.

Standard #: 22VAC40-111-140-B-3
Description: Based on review of documentation and discussions with the provider compliance was not met with this standard as required. This standard was cited for non-compliance on 11/30/15, making this a repeat violation. Evidence: The provider had obtained CPR certification from an on-line only training that is not an approved training with the Division of Licensing. A portion of the training may be completed on line (Red Cross), but the hands on demo must be done in a person to person setting for skill assessment.

Plan of Correction: I was unaware of this not meeting requirements. I will schedule another CPR class immediately and once completed inform my inspector of such completion. In the future CPR will be renewed prior to expiration to maintain compliance.

Standard #: 22VAC40-111-140-B-4
Description: Based on review of documentation and discussions with the provider compliance was not met with this standard as required. This standard was cited for non-compliance on 11/30/15, making this a repeat violation. Evidence: The provider had obtained FA certification from an on-line only training that is not an approved training with the Division of Licensing. A portion of the training may be completed on line (Red Cross), but the hands on demo must be done in a person to person setting for skill assessment.

Plan of Correction: I was unaware of this not meeting requirements. I will schedule another FA class immediately and once completed inform my inspector of such completion. In the future FA will be renewed prior to expiration to maintain compliance.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of documentation and discussions with the provider compliance was not maintained with background renewals as required. Evidence: The provider and assistants sworn disclosures had expired as of 2/16/16. The provider and assistants criminal background check had expired as of 4/24/16 and 4/17/16. All background documents must be renewed every three (3) years prior to expiration of the ones on record.

Plan of Correction: We will immediately complete new documents for renewal and submit the ones needed to the state police as required. In the future all background documents will be renewed prior to them expiring as required.

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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