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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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Mrs. Debra Wright
2241 Wickliffe Road
Brookneal, VA 24528
(434) 376-3457

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

Inspection Date: Sept. 28, 2016

Complaint Related: No

Areas Reviewed:
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 Nighttime Care
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.

Comments:
An unannounced renewal inspection was completed on 9/28/2016. There were two children in care with the provider supervising at a total of four points. Five children's records, the provider's record and one household member's record were reviewed. The inspector arrived at the provider's home at 8:40 am and departed at 11:30 am. The children were observed during free play times, during morning snack, during a pre-writing activity for two older children, and during large group calendar/weather. There was discussion with the provider about the following: outside time, schedules and new process for subsidy.

Violations:
Standard #: 22VAC40-111-830-C
Description: Based on review and interviews with the licensee, the evacuation drills were not documented. Evidence: 1. The inspector found that the evacuation drill for August 2016 was not documented. The licensee stated that it was completed and just not documented.

Plan of Correction: The licensee will document as the drills happen.

Standard #: 22VAC40-111-240-A
Description: Based on observation of the playground area, the licensee failed to ensure that all areas and furnishings where maintained in a clean, safe and operable condition. Evidence: 1. The inspector found a riding car that the back end was cracked and had sharp pieces exposed.

Plan of Correction: The licensee place the car over the fence and will discard the car ASAP.

Standard #: 22VAC40-111-320-G
Description: Based on record review and interview with the provider, the provider failed to ensure that a wood burning stove in the home was inspected annually. Evidence: 1. The last documentation of an inspection of the wood burning stove and associated chimney was October 2010.

Plan of Correction: The provider will get an inspection done for the wood burning stove and chimney. For future, the provider will ensure that this is done annually and documentation is maintained.

Standard #: 63.2-1809.1-A
Description: Based on review of five children's records, the center failed to ensure that all paper work was completed by the parent. Evidence: 1. The inspector found that child # 3 did not have a signed copy of the liability insurance from the parent.

Plan of Correction: The license will have the parent to sign the copy and will make sure that the parents has a copy.

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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