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Linda Gilbert
210 Northside Drive
Gretna, VA 24557
(434) 656-6179

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: Aug. 8, 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 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Medication Administration
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was completed on 8/8/16. There were nine children present with the provider and assistant supervising. The point total was 15. Twelve children's records, the provider's record, and the household member/assistant's records were reviewed. The inspector arrived at the home at 11:15 am and departed at 3:30 pm. The children were observed finishing lunch and during nap. There was discussion with the provider about the following: ensuring corn dogs (or any hot dog type food) served are cut into minced pieces for children under four years of age, having all of the "provisions for emergency preparedness and response" information provided to parents be consistent, the results of this inspection being forwarded to our Home Office for review.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on observation, the provider failed to ensure that all medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. At arrival of the inspector, there was a children's liquid cold and cough medication was observed on the steps at the entrance to the family day home. The medication bottle was observed on the ninth step. Two school-age children (eight years old and six years old) were observed unsupervised in the room adjacent to the steps in which they would have been able to reach the medication.

Plan of Correction: The provider will not allow any medication to be dropped off for pick up by another person for a child.

Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider failed to ensure that each child had a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #12 was enrolled 4/10/16. The child is two years old. The child's physical examination form in the record was not complete. There was no date of assessment that the physical was completed. There was no identifying or health information (name of child, weight, height, etc) of the child at the top of the form. There was no health information written, checked, or otherwise noted on the physical. There were hash marks through three sections (vision, hearing, developmental) on the physical. The section to indicate a well child or having conditions identified important for school was not marked. The physical form was signed and dated by a someone who was undetermined if it was was physician or physician's designee on 4/10/16. The information related to the physician's office was not completed on the health form and the person signing was not the child's physician who was listed on the child's record.

Plan of Correction: The provider will have the parent have a physical completed. In the future, the provider will review the forms to ensure they are complete at enrollment.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider failed to ensure that 10 of 12 children's records reviewed contained all information that is required by the Standards. Evidence: 1. Child #1 was missing documentation of the first date of attendance. 2. Child #2 was missing the following: first date of attendance, medical insurance policy number, work information for the father (work place, work address, work phone number), the work phone number for the mother. 3. Child #3 was missing the work address for the mother of the child. Child #3 first date of attendance was 6/22/09. 4. Child #4 was missing the following: first date of attendance, father's work information (work place, work address, work phone number). 5. Child #5 was missing the following: the home address of the mother and father, the work information for the mother and father, the medical insurance policy number. Child #5 first date of attendance was 9/2/14. 6.Child #6 was missing the following: first date of attendance, medical insurance policy number. 7. Child #7 was missing the following: first date of attendance, the work address of the father, the work address and work phone number of the mother, the medical insurance policy number, the liability insurance disclosure statement. 8. Child #9 was missing the following: the first date of attendance, a complete address for the second emergency contact. 9. Child #10 was missing the following: the first date of attendance, the work information for the mother (work place, work address, work phone number), a complete address for the first of two emergency contacts. 10. Child #12 was missing the following: the work address for the mother, the work information for the father (work place, work address, work phone number), the medical insurance policy number, a complete address for the second emergency contact person. Child #12 was enrolled 4/10/16.

Plan of Correction: The provider will have all parents review their child's record and complete any missing information. The provider will document first dates of attendance of the children. In the future, the provider will review records more carefully when children are enrolled to ensure all information is complete.

Standard #: 22VAC40-191-150-B
Description: Based on observation and interview, the provider failed to ensure that the waiver granted by the Department was posted on the premises. Evidence: 1. The waiver was not observed to be posted at the family day home as required. A letter dated 4/4/16 from the Division of Licensing-Children's Programs Director stated that the waiver must be posted in a conspicuous place at the family day home. The provider was asked if it was posted and stated that it was not.

Plan of Correction: The provider will post the waiver.

Standard #: 22VAC40-191-150-C
Description: Based on interview with the provider, the provider failed to ensure that each parent of the children in care was notified in writing of the waiver granted for its operators, employees, volunteers, or adult family members living in the home. This notification includes parents and guardians whose child is placed with a foster parent or whose child is to be placed with an adoptive family. This notification also includes parents and guardians who, in the future, enroll children. Evidence: 1. The provider was asked if she had notified the parents of the waiver and the provider stated that she had not.

Plan of Correction: The provider will type a notice to the parents and attach the waiver to it to inform all current and future parents of enrolled children.

Standard #: 22VAC40-191-40-B
Description: Based on interview and a review of records, the provider failed to ensure that no person with a disqualifying background was working in the family day home. Evidence: 1. The household member was observed in a caretaker role during the inspection. 2. The provider stated to the inspector that the household member was the assistant when asked by the inspector of the role of the household member. 2. The paperwork for a waiver was viewed that stated this household member could not work in the capacity of substitute provider or assistant. The household member was working in this capacity and had been working in this capacity since the waiver was granted 4/4/16. 3. The records of the household member indicates that he is a caregiver by showing training hours completed as recent as June 11, 2016 and first aid and cpr certification maintained current. 4. The household member was listed on the most recent application as assistant.

Plan of Correction: The household member will not be used as an assistant in the future.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on record review and interview, the provider failed to ensure that there was a criminal record check (CRC) for the assistant. Evidence: 1. The original CRC for the assistant could not be located at the family day home.

Plan of Correction: The provider will send for another CRC. In the future, the provider will maintain all original checks.

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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