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Betty Adams
6468 Franklin Road
Boones mill, VA 24065
(540) 989-6517

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: Nov. 2, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
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.
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:
Today's visit was a renewal inspection. The inspection began at 9:30am and concluded at 12:30pm. There were a total of four children present, two providers, and a total of thirteen points. During the inspection two out of five records were reviewed, the licensee's record was, her spouse who serves as assistant's record was reviewed, infant care was observed to include diapering and bottle preparation and feeding, a snack served to an older child was observed, nap time for the infants was observed, and some policies and procedures were reviewed. The provider stated she does not provide transportation and does not administer medication per policy.Your renewal application has been received in our office and a recommendation will be made regarding your license will be made upon completion of today's inspection.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on the inspector's observations, the provider failed to ensure medication was kept in a locked manner. Evidence: The inspector observed three loose pills on a shelf above the kitchen sink in the children's area. The provider stated this was medication she meant to take first thing in the morning.

Plan of Correction: The provider took the medication immediately and stated she would not place medications loose on the shelf.

Standard #: 22VAC40-111-890
Description: Based on the inspector's observations and interview, the provider failed to ensure food brought from home was labeled in a manner that identifies the owner. Evidence: The inspector observed four containers of baby food on the kitchen counter that were not labeled in a manner that identifies the owner. The provider stated all food is provided by the parent.

Plan of Correction: The provider will label all food as it is brought to the family day home if not already done so by the parent.

Standard #: 22VAC40-111-960-E
Description: Based on the inspector's observations, the provider failed to ensure refrigerated bottles were labeled when more than one infant was in care. Evidence: The inspector observed three prepared bottles in the refrigerator that were not labeled and three infants were in care the day of the inspection.

Plan of Correction: The provider will label all prepared bottles as they are placed in the refrigerator.

Standard #: 22VAC40-111-100-A
Description: Based on the inspector's review of two out of five children's records, the provider failed to ensure a child had a physical exam before the end of thirty days in care. Evidence: The record for child #2 has a start date of 5/23/16 and the physical exam is dated 7/8/16. A physical exam is required within thirty days after the first date of attendance.

Plan of Correction: The provider will ensure all children in the future have a physical exam within the first thirty days of attendance.

Standard #: 22VAC40-111-90-A
Description: Based on the inspector's review of two out five children's records, the provider failed to ensure a child had an up to date immunization record before the first day of attendance. Evidence: The record for child #2 has a documented start date of 5/23/16 and the immunization record is dated 7/8/16. Immunization records are required before the child's first day of attendance.

Plan of Correction: The licensee will ensure all future enrolled children will have an up to date immunization record before the child can attend.

Standard #: 22VAC40-111-680-A
Description: Based on the inspector's observations, a caregiver failed to wash their hands when feeding a child a bottle. Evidence: The licensee was feeding a child a bottle and as an additional caregiver arrived to the home the licensee handed off the child to be fed by the caregiver who had just arrived. The caregiver did not wash their hands before bottle feeding an infant.

Plan of Correction: All caregivers will wash their hands before assisting with any type of feeding to include bottles.

Standard #: 22VAC40-80-120-E-2
Description: Based on the inspector's observations the most recently issued violation Notice was not posted in a visible manner. Evidence: The inspector observed the Inspection Summary posted as the visible document from the last inspection. A Violation Notice was issued during the last inspection and is required to be posted in a visible manner.

Plan of Correction: The provider will post today's Violation Notice at the main entrance to the family day home in a visible manner.

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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