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Mrs. Becky Swanner
99 Wilderness Court
Stafford, VA 22556
(540) 752-0515

Current Inspector: Lorraine Hancock (540) 272-9214

Inspection Date: Oct. 11, 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
63.2 Facilities and Programs..
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
Sixteen hours of annual training are required for all caregivers. The VA Pre-service Training hours is required for all caregivers for the subsidy vendor agreement and may be used toward annual training. Medication Administration Training will also count toward the annual training.

Comments:
An unannounced renewal study was conducted with provider and two assistants. There were twelve children, ranging in age from 3 months to 4 years, present totalling 32 points. The children were waking from rest, eating afternoon snack, and watching a Sign Language show on TV. Snack served today: peanut butter crackers. TV programming and electronics should be limited to no more than 2 hours a day, especially for the younger children. Five children were picked up, and six more arrived off the school bus. Please ensure parents pick up on time in order to avoid going over the licensed capacity of twelve. Twelve children's files and four staff/household files were reviewed - please see Supplemental Summary for missing items. Time of today's inspection: 2:45 p.m. to 5:15 p.m. Please contact me if you have any questions at 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of twelve children's files, the provider failed to have documentation of a physical in each child's file within 30 days of attendance. Evidence: Child 10 and Child 11 (date of enrollment 8/22/2016) did not have documentation of a physical on file.

Plan of Correction: Provider will request the information from the parent again.

Standard #: 22VAC40-111-40-A
Description: Based on observation, the provider failed to ensure that the total number of children receiving care at any one time does not exceed the maximum licensed capacity of the home. Evidence: the licensed capacity of the home is twelve children. There were seven children present when six additional children arrived from the school bus. From 4:10 p.m. to 4:35 p.m., there were thirteen day care children present in the home.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-60-B
Description: Based on review of twelve children's files, the provider did not have documentation of two emergency contacts in each child's file. Evidence: Child 10 and Child 11 did not have documentation of the name, address, and phone number of a second emergency contact.

Plan of Correction: Provider will request the information from the parents again.

Standard #: 22VAC40-111-70-A
Description: Based on review of twelve children's files, the provider failed to provide all information in writing to parents before the first day of attendance. Evidence: Child 10, 11, and 12 did not have documentation of having received the provider's "Policy on the Administration of Medication". Child 12 did not have documentation of having signed the VDSS model form "Provisions of the Emergency Preparedness Plan" or an equivalent.

Plan of Correction: Provider will get the forms signed and in the file.

Standard #: 22VAC40-111-90-A
Description: Based on review of twelve children's files, the provider failed to have documentation that the child has been adequately immunized according to the requirements of the Code of VA and State Board of Health. Evidence: Child 10 and Child 11 did not have documentation on file indicating they have been adequately immunized.

Plan of Correction: Provider will request the information from the parent.

Standard #: 22VAC40-111-170-A
Description: Based on review of four household/staff files, the provider failed to obtain a current tuberculosis test or form from each staff at the time of hire. Evidence: Staff B (date of hire 8/31/2016) did not have documentation of a tuberculosis test or screening in the file.

Plan of Correction: Staff B will get a tuberculosis test or screening.

Standard #: 22VAC40-111-520-A
Description: Based on observation, the provider failed to provide a crib for children 12 months and under. Evidence: upon licensing inspector arrival, a three month old infant was sleeping in a soft sided play yard (labeled as a cosleeper), that had been been provided by the parent.

Plan of Correction: Provider will not use the cosleeper for sleeping. A crib is available and will be used for infant.

Standard #: 22VAC40-191-60-C-1
Description: Based on review of four household/staff files, the provider failed to have documentation of an original criminal history record report for each staff within 30 days of employment. Evidence: Staff B (date of hire 8/31/2016) did not have documentation of an original criminal history record on file.

Plan of Correction: Staff B will not return to work until an original criminal history record is returned with satisfactory findings.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of four household/staff files, the provider failed to have documentation of an original search of the central registry (CPS check) for each employee within 30 days of employment. Evidence: Staff B (date of hire 8/31/2016) did not have an original search of the central registry on file.

Plan of Correction: Staff B will not return to work until an original search of the central registry (CPS check) is returned with satisfactory findings.

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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