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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Rachel Carter
766 Clearview Drive
Martinsville, VA 24112
(276) 790-3929

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: July 29, 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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
63.2 General Provisions.
63.2 Child Abuse and Neglect
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.

Technical Assistance:
Please keep in mind: Each evacuation & shelter-in-place drill conducted is clearly documented & clearly identifies the type of drill conducted. Records of drills conducted must be maintained for at least one (1) year. Information for all emergency drills must include: Identity of the person conducting the drill: The date and time of the drill; The method used for notification of the drill; The number of caregivers participating; The number of children participating; Any special conditions simulated; The time it took to complete the drill; Problems encountered, if any; and For emergency evacuation drills only, weather conditions. Virginia Child Care Information www.childcareva.gov www.dss.virginia.gov

Comments:
An unannounced monitor inspection was conducted on 7/29/2016. Upon arrival at 1:10 PM, there were nine (9) children ages 4 months to 5 years old, the Provider and one (1) assistant present. Children present totaled twenty-one (21) points under direct supervision of 2 caregivers. Provider does not administer medication and does not transport children. Provider continues to participate in the USDA Child Care Food Program. Children and staff records were reviewed during the inspection including records for recently enrolled children. Records that were found out of compliance during the previous inspection were reviewed & have been corrected. The exit interview including the review of risk assessment and areas of non-compliance were reviewed with the Provider on 7/29/2016. LI Anderson concluded inspection at 3:35 PM

Violations:
Standard #: 22VAC40-111-830-D
Description: Based on record review & discussion with the Provider, the Licensee failed to keep documentation of shelter-in-place drills conducted during the previous year. EVIDENCE: Documentation for completed shelter-in-place drills was not completed for 2015.

Plan of Correction: Provider will document all emergency drills & clearly identify the type of drill conducted. Will keep documents on file for 1 year

Standard #: 22VAC40-111-100-B
Description: Based on record review, the Licensee failed to obtain required health documentation for each child enrolled. EVIDENCE: LI Anderson reviewed 3 children records 1. Record for Child #1 did not include documentation of the child's physical examination within 30 days of enrollment. Child #1 was enrolled 4/25/3016 2. Record for Child #2 did not include documentation of the child's physical examination within 30 days of enrollment. Child #2 was enrolled 5/23/2016

Plan of Correction: The Provider will contact parents to obtain a copy of the child's physical examination.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the Licensee failed to include required information in each child's record. EVIDENCE: LI Anderson reviewed three (3) children records Record for Child #3 did not include name, address and telephone number of one of the two required designated persons to contact in case of an emergency if the parent cannot be reached.

Plan of Correction: Provider will have the parent to identify a 2nd emergency contact

Standard #: 22VAC40-111-320-A
Description: Based on observations, the Licensee failed to keep small electrical appliances unplugged when not in use. EVIDENCE: In the kitchen, LI Anderson observed an electrical can opener plugged into the electrical outlet when not in use.

Plan of Correction: Provider will keep small electrical appliances unplugged when not in use. Corrected during inspection

Standard #: 22VAC40-111-530-H
Description: Based on observations, the Licensee failed to ensure pillows used by the children in care are covered with pillowcases. EVIDENCE: LI Anderson observed a child sleeping on a pillow that was not covered with a pillow case.

Plan of Correction: Provider will return pillow to the child's parents & discontinue using

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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