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Ms. Sabrina Wilson
1808-B Solomon Road
Charlottesville, VA 22901
(434) 382-7971

Current Inspector: Michelle W. Argenbright (540) 848-4123

Inspection Date: Oct. 7, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
Thank you for your time and assistance during the unannounced monitoring inspection conducted on October 7, 2016, between the hours of approximately 11:09 a.m. and 1:29 p.m. Twelve (12) children were enrolled and six children were present with two caregivers on this date (18 points). Seven children's records, one caregiver's record and available documentation for one household member were reviewed. No medication was administered on this date. Posted information and facility documents were observed/reviewed. The lunch served on this date was observed to meet the United States Department of Agriculture (USDA) Child and Adult Care Food Program requirements and included spaghetti, carrots, grapes, crackers and milk. Program observation was completed. Activities observed on this date included: indoor play/toys; lunch; diapering, restroom and handwashing procedures; infant care; and nap time. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. Previously cited violations (11/16/2015 inspection date) were reviewed for compliance. Refer to the Violation Notice for the exceptions to compliance. Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of seven children's records and discussion with caregiver #1 on October 7, 2016, the facility failed to obtain physical exam reports for five children. Evidence: 1. Review of children A, B, C, D and E's records, on this date, determined that physical exam reports were not on file. The first dates of attendance for the children were A - 8/22/16, B - 8/02/16, C - 8/02/16, D - 8/22/16 and E 7/20/16. 2. Caregiver #1 confirmed the lack of physical exam reports in the children's records.

Plan of Correction: The children's parents were contacted and physical exam reports were obtained for children B, C and E. A physical will be obtained for child A. Child D is not in care. In the future, physical exam reports will be obtained prior to a child's attendance or within 30 days after the first day of attendance.

Standard #: 22VAC40-111-110-B
Description: Based on review of seven children's records and discussion with caregiver #1 on October 7, 2016, two children's immunization records were not signed by a licensed physician, designee or official of the local health department. Evidence: 1. Review of the records of children B and C, on this date, determined that the children's immunization records were not signed. 2. Caregiver #1 confirmed the lack of signatures on the children's immunization records.

Plan of Correction: The children's parent was contacted and signatures were obtained on the immunization records. In the future, children's immunization records will be signed by a licensed physician, designee or local health department official.

Standard #: 22VAC40-111-120-A
Description: Based on review of caregiver #2's record and discussion with caregiver #1 on October 7, 2016, verification of age and references were not included in the caregiver's record. Evidence: 1. Review of caregiver #2's record, on this date, determined that verification of age and references were not included in the record. 2. Caregivers #1 and #2 confirmed that verification of age and references were not on file.

Plan of Correction: Verification of age and references will be obtained and added to the staff record. In the future, verification of age and references will be obtained for all caregivers.

Standard #: 22VAC40-111-60-B
Description: Based on review of seven children's records and discussion with caregiver #1 on October 7, 2016, the facility failed to obtain a child record form for two enrolled children. Evidence: 1. Review of child B and child C's records, on this date, determined that a child record form was not included in the children's records. 2. Discussion with caregiver #1 confirmed the lack of information in the children's records.

Plan of Correction: The children's parent was contacted and the information has been obtained. In the future, all required information will be obtained when a child is enrolled.

Standard #: 22VAC40-111-80-A
Description: Based on review of seven children's records and discussion with caregiver #1, the facility failed to obtain verification of age and identity for three children. Evidence: 1. Review of children A, B and D's records, on this date, established that verification of age and identity was not obtained/included in the records. 2. Child A and child D's first day of attendance was 8/22/2016 and the first day of attendance for child B was 8/02/2016. 2. Caregiver #1 confirmed that verification of age and identity was not on file for the children.

Plan of Correction: The children's parents were contacted and verification of age and identity was obtained for child B . It will be obtained for child A and child D is not in care. In the future, verification of age and identity will be obtained within seven business days of the child's first day of attendance or local law enforcement will be notified.

Standard #: 22VAC40-111-90-A
Description: Based on review of seven children's records and discussion with caregiver #1 on October 7, 2016, the facility failed to obtain documentation that children had been adequately immunized before they attended the family day home. Evidence: 1. Review of the records of children A and D revealed that immunization records were not on file. The first date of attendance for children A and D was 8/22/2016. 2. Caregiver #1 confirmed the lack of immunization records and date of attendance.

Plan of Correction: The children's parents were contacted and an immunization record was obtained for child A. Child D is not in care. In the future, immunization records will be obtained prior to children's attendance.

Standard #: 22VAC40-111-350-E
Description: Based on observation, measurement of the water at the bathroom sink and discussion with caregiver #1 on October 7, 2016, the facility failed to maintain the hot water within a range of 105 degrees F to 120 degrees F. Evidence: 1. The water temperature, as measured by the licensing inspector (L.I.) at the bathroom sink, measured 140 degrees F on this date. 2. Caregiver #1 confirmed the water temperature.

Plan of Correction: The landlord was notified and the water temperature has been reduced. The water temperature will be periodically checked, to ensure the temperature remains within the range of 105 degrees F and 120 degrees F.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on review of one caregiver's record and discussion with caregivers #1 and #2 on October 7, 2016, the facility failed to obtain background clearances, including a central registry and a criminal history record check, before 30 days of employment at the facility ended. Evidence: 1. Review of caregiver #2's record, on this date, determined that background clearances (central registry and criminal history record check) were not on file. 2. Caregivers #1 and #2 confirmed that the background clearances were not yet obtained. One clearance was returned for additional information and resubmitted.

Plan of Correction: The background clearances will be obtained. In the future, background clearances will be submitted within one week of hire for new assistants/substitutes and will be reviewed, before mailing, to ensure complete information is provided.

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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