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Ms. Crystal Payne
9724 Louisa Road
Gordonsville, VA 22942
(540) 832-5364

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Nov. 4, 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 General Provisions.
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.

Your time and assistance were appreciated during the unannounced renewal inspection conducted on November 4, 2016 between the hours of approximately 10:45 a.m. and 1:33 p.m. Eleven children were enrolled and nine children were in the care of two caregivers on this date (25 points). Five children's records were reviewed and/or updated. The provider's record, assistant's record and household members' records were up-to-date and, therefore, not reviewed/updated. No medications were administered, as is the policy of this family day home. Facility documents (attendance form and emergency evacuation and shelter-in-place drill record), posted information (evacuation diagram, menu, emergency telephone numbers, daily schedule, license and licensing inspection documentation) and safety equipment (first aid kit, flashlight, radio and fire extinguisher) were observed/reviewed. Program observation was completed. Activities observed on this date included: indoor play; music, songs and movement; stories; television; coloring; lunch; naptime and pick-up/departure of two children. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The activities and lunch provided were consistent with the posted daily schedule and menu. On this date, lunch included macaroni and cheese, pears, green beans and milk. Substantial compliance with the licensing standards was maintained. Violations cited during the licensing inspection conducted on August 8, 2016 were reviewed for compliance; no repeat violations were cited. Current exceptions to compliance were noted on the violation notice. The licensing standard regarding water temperature was discussed. Please continue to monitor the temperature of the water, to ensure it consistently measures between 105 degrees F and 120 degrees F. 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.

Standard #: 22VAC40-111-80-A
Description: Based on review and/or update of five children's records and discussion with caregiver #1 on November 4, 2016, the program failed to obtain verification of age/identity for one enrolled child. Evidence: 1. Review of child E's record, on this date, determined that verification of age/identity had not been obtained from the child's parent within seven days of the child's first day of attendance (10/18/2016). 2. Caregiver #1 confirmed that age/identity verification had not been obtained.

Plan of Correction: The information has been requested from the child's parent and will be obtained. In the future, verification of age/identity will be obtained within seven days of a child's first day of attendance or local authorities will be contacted.

Standard #: 22VAC40-111-90-A
Description: Based on review and/or update of five children's records and discussion with caregiver #1 on November 4, 2016, the program failed to obtain documentation of immunizations before one child attended the family day home. Evidence: 1. Review of child E's record, on this date, revealed that documentation of the child's immunizations was not included in the child's record (first date of attendance - 10/18/2016). 2. Caregiver #1 verified that the child's immunization record was not on file.

Plan of Correction: Documentation of immunizations has been requested and will be obtained. In the future, documentation of immunizations will be obtained before a child's first day of attendance.


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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.