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Ms. Kathleen Creasey
5204 Clarence Street
Richmond, VA 23225
(804) 864-0934

Current Inspector: Ali Metzger (804) 662-9092

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..
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:
N/A

Comments:
An unannounced renewal inspection was conducted on Tuesday, October 11, 2016 from approximately 10:15am to 12:10pm to determine the provider's compliance with licensing standards. In attendance were 11 non-resident children. The children were being supervised by two caregivers for a total of 29 points. Children were observed playing outside with trikes, swinging, going on a worm hunt and taking bathroom breaks and washing their hands. Infants were observed playing with toys inside. Lunch consisted of pasta, corn, applesauce and milk. The child care areas were filled with supplies and toys for the children. During the inspection a complete walk through of the home was completed. The outdoor play area was inspected.

During the inspection, the licensing inspector reviewed the following: emergency drill logs, emergency supplies including first aid kit, flashlight, battery operated weather radio, smoke detectors, emergency plan, menu, and daily attendance. The provider stated there were no medications belonging to the children in care during the inspection. Transportation is not provided at this time. During the inspection three children's and three providers' records were reviewed.

Please complete the 'plan of correction' and 'date to be corrected' for each violation cited on the violation notice and return it to me within 10 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word 'corrected' is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

The risk profile tool will be used for the licensing recommendation once all of the necessary paperwork is received by the licensing department. The renewal application was received prior to the expiration of the current license. Until the new license is received, the provider is legally operating. If you have any questions about this inspection, please contact the licensing inspector, Lynn Powers at (804) 662-9790.

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on review of three caregivers' records, one record did not contain a negative tuberculosis screening within the required time frame. Evidence: During the inspection, the licensing inspector observed the record for Caregiver #1 did not contain a current report of a tuberculosis form. The record contained a tuberculosis screening dated 07/07/14. A tuberculosis screening is required to be obtained at least every two years from the date of the first screening.

Plan of Correction: On Monday, October 24, 2016 I made an appointment to have TB test done.

Standard #: 22VAC40-111-500-D
Description: Based on observations, the provider did not ensure all "S" hooks located on playground equipment were tightly closed. Evidence: During the inspection, the licensing inspector observed a "S" hook with an approximate 1/2 of an inch opening located at the top of the blue swing.

Plan of Correction: We switch out swings so each age group has turns on swings. I will switch to a D link.

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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