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Ms. Marlene Campbell
4812 Lytham Drive S.W.
Roanoke, VA 24018
(540) 685-2852

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: July 28, 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
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
Today's visit was a routine monitoring inspection. The inspection began at 9:15am and concluded at 12:30pm. There were six children present with two providers and the points for today totaled twelve. during the inspection three out of six children's records were reviewed, the licensee's record was reviewed, the assistant's record was reviewed, the downstairs, child care area was viewed, lunch time was observed, nap time was observed, emergency supplies were viewed, and some policies and procedures were reviewed. Thank you for your time, please call me at 309-2051 if you have any questions.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on the inspector's review of three out of six children's records, the provider failed to ensure all of the required documentation was obtained for a child observed in care. Evidence: The record for child #1 does not include the following: nickname, address, two out of two required emergency contacts with address and phone number, name address phone number of each parent who has custody, name address phone number of each custodial parent's place of employment, name, address, telephone number of the child's physician, allergy/intolerances allergies, name policy number of the child's medical insurance, names of persons other than the custodial parents who are authorized to pick up the child, chronic physical problems and pertinent developmental information, first date of attendance, parent's signed acknowledgement of agreements, written authorization for emergency, medical care, and current immunization record. The child was observed in care the day of the inspection.

Plan of Correction: The provider spoke to the parent during the day of the inspection and the parent is required to provide the information by the next program day in order for the child to attend.

Standard #: 22VAC40-111-180-A
Description: Based on the inspector's review of the licensee's record, the tuberculosis screening is more than two years old. Evidence: The licensee's TB screening is date 7/7/14 and is more than two years old. A TB screening is required every two years for all caregivers and household member's.

Plan of Correction: The licensee stated she has an appointment to complete a TB screening within one week of today's inspection.

Standard #: 22VAC40-111-250-E
Description: Based on the inspector's observations in the rest room used by the children in care, the provider failed to ensure empty plastic bags large enough for a child's head to fit into were stored in an inaccessible manner. Evidence: The inspector opened an unsecured cabinet under the sink and observed a bag of plastic grocery bags. The bags pose a potential suffocation hazard to children.

Plan of Correction: The bags were removed from the cabinet during the day of the inspection.

Standard #: 22VAC40-111-690-E
Description: Based on the inspector's observations during a diaper change, the assistant did not use a storage system that is operable by foot. Evidence: The inspector observed the assistant during a diaper change and a step down or hands free container was not used when disposing of a diaper. The diaper was taken outside to be disposed of in a trash can.

Plan of Correction: The provider has a foot operated trash can that will be placed on the other side of the gate for use when disposing of diapers.

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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