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Mrs. Cheryl Moore
303 West Watts Street
Gretna, VA 24557
(434) 656-6533

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: Jan. 26, 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 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
63.2 Child Abuse and Neglect
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
Today's visit was a routine monitoring inspection. The inspection began at 10:00am and concluded at 1:00pm. There were a total of five children in care with one provider and a total of thirteen points. The inspector observed over the counter medication to include Children's Motrin, Children's Mucinex, Children's Robitussin, and Children's Tylenol in a locked cabinet of the children's area. The provider stated she does not administer medication and is not MAT certified, she stated the medication is stored at the family day home, provided by the parents and parents come to administer the medication if needed. Transition time for infants was discussed when lunch is being prepared regarding waiting to place an infant in the high chair until lunch is ready a a way to limit the infants frustration during a waiting period. During the inspection the provider's record was viewed, two out of six children's records were viewed, emergency supplies were reviewed, lunch time was observed, nap time was observed, and some policies and procedures were reviewed. The provider has an in ground pool at the residence and stated the pool is never used by children in care. Thank you for your time, please call me at (540)309-2051.

Violations:
Standard #: 22VAC40-111-710
Description: Based on the inspector's observations, the provider failed to ensure a prescription medication dispensed from a pharmacy was maintained in the original labeled container, and had a prescription label with the child's name, and instructions pertaining to dosage, frequency, and manner of administration. Evidence: A tube of Nystatin cream was observed on top of a cabinet. The provider stated it was used when diapering an infant child due to diaper rash. The medication states "Rx only" and is not in the original container with a prescription label to identify the child, frequency, dosage, and manner of administration.

Plan of Correction: The provider will send home the medication at the end of the program day when the child is picked up. The provider stated she did not realize this was a prescription medication.

Standard #: 22VAC40-111-730-D
Description: Based on the inspector's observations, the provider failed to ensure a prescription medication was kept in a locked manner. Evidence: The inspector observed a tube of Nystatin cream labeled "Rx only" on the top of a cabinet directly next to the diaper changing table. This is a medication that is required to be locked.

Plan of Correction: The medication will be locked until the parent picks it up at the end of the day when the child is picked up.

Standard #: 22VAC40-111-90-A
Description: Based on the inspector's review of two out of five children's records, the provider failed to ensure one of the children's records had documentation on immunizations before the child entered care. Evidence: The record for child #1 has a documented start date of 9/21/16 and the immunization record for the child was signed and dated by the physician on 10/19/16 after the child began care.

Plan of Correction: The provider will ensure all children in the future do not start care until immunization records have been provided.

Standard #: 22VAC40-111-680-B
Description: Based on the inspector's observations, the provider did not ensure an infant's hands were washed after a diaper change. Evidence: The inspector observed a diaper change for a seven month old infant. The provider did not was the infants hands with liquid soap and warm running water after the completion of the diaper change. Once the diaper change was completed the provider took the infant to join the group of children.

Plan of Correction: The provider will wash children's hands at the sink when a diaper change is completed.

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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