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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: Jan. 25, 2017

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 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
VENDHOM-000 Physical Plant

Comments:
An unannounced monitoring inspection was conducted on January 25, 2017 between the hours of approximately 10:33 a.m. and 2:30 p.m. Twenty-two (22) children were enrolled and eight children were in the care of two caregivers on this date (22 points). Twelve children's records were reviewed. One caregiver's record and one household member's record were reviewed. No medications were administered. Facility documents and posted information were observed/reviewed. The lunch provided on this date included: wheat noodles with vegetable/tomoto sauce, applesauce, tangerines, sliced cucumbers, wheat crackers and milk. Program observation was completed. Activities observed on this date included: indoor play; diapering, restroom and handwashing procedures; lunch; and nap time. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The children knew and followed the daily routine and transitions well. A previously cited violation (inspection date - 10/07/2016) was reviewed for compliance. Exceptions to compliance were noted on the violation notice. Thank you for your time and assistance during this licensing inspection. 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 #: 22VAC40-111-880
Description: Based on observation of children's lunch and discussion with caregiver #1 on January 25, 2017, the lunch served did not meet the United States Department of Agriculture Child and Adult Care Food Program requirements. Evidence: 1. The lunch served on this date lacked the meat or meat alternative component. 2. Caregiver #1 confirmed the lack of protein served.

Plan of Correction: A meat or meat alternative will be served with each lunch.

Standard #: 22VAC40-111-100-A
Description: Based on review/update of 12 children's records and discussion with caregiver #1 on January 25, 2017, physical exam reports were not on file for 9 children. Evidence: 1. Review of children's records, on this date, determined that physical exam reports were not included in the records of children A, E, F, G, H, I, J, K and L. 2. Caregiver #1 confirmed the lack of physical exam reports on file.

Plan of Correction: The children's parents were immediately contacted and physical exam reports will be obtained. Child F's physical exam report was obtained today.

Standard #: 22VAC40-111-60-B
Description: Based on review/update of 12 children's records and discussion with caregiver #1 on January 25, 2017, emergency contact addresses were not on file for 2 enrolled children. 1. Review of children's records, on this date, determined that the address for one emergency contact was not on file for child D and child K. 2. Caregiver #1 verified the lack of emergency contact addresses.

Plan of Correction: The parents have been contacted and the addresses will be added to the files.

Standard #: 22VAC40-111-90-A
Description: Based on review of 12 children's records and discussion with caregiver #1 on January 25, 2017, documentation that two children have been adequately immunized was not included in the children's records. Evidence: 1. Review of child A's record, on this date, revealed that the immunization record was incomplete and review of child I's record determined that an immunization record was not on file. 2. Caregiver #1 confirmed the lack of immunization record and incomplete record.

Plan of Correction: The children's parents have been contacted and documentation that the children have been adequately immunized will be obtained.

Standard #: 22VAC40-111-320-G
Description: Based on review of documentation and discussion with caregiver #1 on January 25, 2017, the downstairs fireplace has not been inspected annually. Evidence: 1. The last documented date of a fireplace inspection was 11/18/2015. 2. Caregiver #1 stated that the fireplace had not been inspected in the last year.

Plan of Correction: I'll call and arrange for inspection.

Standard #: 22VAC40-111-350-E
Description: Based on observation, measurement of the water at the bathroom sink and discussion with caregiver #1 on January 25, 2017, 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 139.1 degrees F on this date. 2. Caregiver #1 confirmed the water temperature.

Plan of Correction: The caregiver immediately called to have someone turn down the water heater temperature.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on review of one caregiver's record and discussion with caregivers #1 and #2 on January 25, 2017, 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 central registry clearance had not yet obtained. The criminal history record clearance was returned for additional information and will be resubmitted.

Plan of Correction: One form will be resubmitted and the background checks will be obtained.

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.

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.

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