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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Tanya Reynolds
1060 Palm Avenue NW
Roanoke, VA 24017
(540) 795-5175

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: Nov. 3, 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
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
The modification process was explained to the Provider. An increase in capacity can be considered with written zoning approval. The model forms, attendance sheet and emergency preparedness plan, will be provided as requested.

An unannounced Renewal inspection was conducted on November 3, 2016. There were 5 children in the care and supervision of the Provider. Based on the ages of the children, the total points were nine. As reported, six children are currently enrolled. Upon arrival to the Family Day Home, the LI observed 2 children napping. Three school-age children arrived in the afternoon. The children were served a snack. The children also played in the play room. A sample of 4 children's records was reviewed. Two caregiver's records were also reviewed. Documentation of the Emergency Preparedness Plan and dates of emergency drills were reviewed. Emergency supplies were observed. Findings of the inspection were reviewed at exit. The on-site inspection was conducted from approximately 2:30 to 6:30pm. If you have any questions, please call (540)309-2310. Thank you.

Standard #: 22VAC40-111-770
Description: Based on direct observation and interview with the Provider, a working portable battery-operated weather band radio was not available in the Family Day Home. Evidence: The Provider reported that she could not locate the portable radio.

Plan of Correction: If needed, the Provider will purchase another radio so that a radio is available with the emergency supplies.

Standard #: 22VAC40-111-800-A
Description: Based on reviewed documentation, the Provider failed to have a written emergency preparedness and response plan for the current physical address. Evidence: The Provider failed to complete a revised written emergency preparedness and response plan for the current location of the Family Day Home. The reviewed written plan was for the previous physical address.

Plan of Correction: The Provider will complete a written emergency plan to update the information. The emergency plan will be reviewed with each parent.

Standard #: 22VAC40-111-50-A
Description: Based on interview, the Provider failed to keep a written record of each child's daily attendance. Evidence: The Provider did not have documentation to verify each child's attendance on the date of the inspection. The Provider reported that the information was recorded on the USDA form.

Plan of Correction: The Provider will use the model form each day to record each child's attendance.

Standard #: 22VAC40-111-60-B
Description: Based on a sample review of four children's records, the Provider failed to maintain a complete record for each child in care. Evidence: The following information was not complete in each child's record: the addresses and telephone numbers of two designated persons to contact in case of an emergency if the parent cannot be reached (children 1,2,3,4); the first date of attendance (children 1,2,3,4).

Plan of Correction: The records will be reviewed with the child's parent, information will be completed.

Standard #: 22VAC40-111-70-A
Description: Based on documentation reviewed, the Provider failed to provide in writing the following information to the parents: policies for termination of care. Evidence: The LI reviewed a sample of 4 children's records, written information regarding the policies for termination of care was not complete in four of four records.

Plan of Correction: The information will be completed on the model form and each parent will be provided with a copy. The form will be filed in each record with the date and parent's signature.

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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