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Muriel Rhodes
2519 Quail Oak Drive
Ruther glen, VA 22546
(804) 994-3668

Current Inspector: Heather Dapper (804) 662-7014

Inspection Date: July 26, 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 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted today, July 26, 2016 to check for compliance with licensing standards. The inspector arrived at 2:30 pm and concluded the inspection at 2:30 pm. There were ten children present with two caregivers for a total of 20 points. Upon the inspectors arrival, children were napping (see violation notice). Later children were observed gathered in a group watching a video while diapering and bathroom breaks and hand washing was conducted. Children played with toys (dolls, plastic food/kitchen, blocks) in the main room of the family day home area. A caregiver read stories and later children prepared for snack. The children also worked on worksheets to review letters. Children colored the letter and practiced printing the letters and their name. Caregivers interacted in a positive manner. Today's lunch consisted of tuna, noddles, pears, oranges and milk. The playground and deck area were inspected. Areas used for child care were inspected. The provider had the license, last inspection notice, emergency numbers, menu and information for parents posted. The family day home has age and stage appropriate materials. The first aid kit and non medical emergency supplies were inspected and found to be complete. The Inspector interacted with caregivers and children enrolled. Last evacuation drill was on 07/19/2016 and the two shelter in place drills for 2016 were conducted on 02/01/2016 and 07/19/2016. The provider does not administer medication nor provide transportation. Both caregivers have current CPR and First aid training. The provider's record and caregiver's record were reviewed along with the records of ten children enrolled. The violations from the previous inspection on February 26, 2016 were check for corrections. There were no repeat violations found during today's inspection. If you have questions regarding this inspection, please contact the licensing inspector at 804-662-9758.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of children's records, the provider did not obtain documentation of a physical examination for each child within 30 days after the first day of attendance. Evidence: Child #9, enrolled 04/26/2016, did not have documentation of a physical on record.

Plan of Correction: Per the Provider: I will ask the parent to bring me a copy of the child's physical for the record.

Standard #: 22VAC40-111-60-B
Description: Based on review of children's records, the provider did not ensure each child's record contained all required information. Evidence: The record of child #9, enrolled 04/26/2016, did not have: (1) The name, office address and telephone number of the child's physician, (2) name, address and phone number for the second emergency contact and (3) name and policy number of the child's medical insurance.

Plan of Correction: Per the provider: I will have the parent complete the missing information in the record.

Standard #: 22VAC40-111-520-A
Description: Based on observations, the provider did not provide a crib for all children who were birth through 12 months in age. Evidence: Child #9, a seven month old, was observed sleeping in a car seat. Two cribs were on site and occupied with child #4 and child #8. The provider stated that she did not have a crib for child #9 and that child #9 slept in the car seat. Car seats can not be used for nap time purposes.

Plan of Correction: Per the provider: I will transition another child who is older then twelve months to a cot for nap time so that child #9 will have a crib for nap time. I will do this immediately.

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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