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Linda Gilbert
210 Northside Drive
Gretna, VA 24557
(434) 656-6179

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: March 24, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 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 Emergencies
22VAC40-111 Nutrition
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was completed on 3/24/17. There were six children in care from 11 months through eight years with the provider supervising. The point total was 12. Seven children's records were reviewed to verify correction of previous violations and to check for annual updates of information. One newly enrolled child's record was reviewed. All information in the provider and household member's records were up-to-date and not reviewed. The provider's training was reviewed. The inspector arrived at the provider's home at 8:00 am and departed at 11:30 am. The children were observed during arrivals, during breakfast, during puzzle time/free play time, during outside time, during structured learning time, and during story time. There was discussion with the provider about the following: updates for records (TB for provider due July 2017, rabies for animal due July 2017, first aid and CPR for provider due July 2017), location of hazardous substances, requirements for shelter-in-place drills, accurate documentation in records (child updates date documentation), use of the high chair (Standard 600-B).

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on record review, the provider failed to ensure that the emergency plan was reviewed at least annually and updated as needed. The provider is required to document in writing each review and update to the emergency plan. Evidence: 1. The emergency plan was reviewed and the last documentation by the provider of having reviewed the plan was "1-14."

Plan of Correction: The provider will review the plan completely and add the lock down procedures. The provider will document this annually for future.

Standard #: 22VAC40-111-830-A
Description: Based on record review, the provider failed to ensure that there was documentation of an emergency evacuation drill practiced monthly. Evidence: 1. There was no documentation of an emergency evacuation drill (fire drill) for February 2017.

Plan of Correction: This was corrected during the inspection. The provider stated that she had two documented for January and one should have been February. The provider made the correction to the date. The provider will make sure documentations are made correctly in the future.

Standard #: 22VAC40-111-870-G
Description: Based on observation, the provider failed to ensure that tables and high chair trays were cleaned after each use. Evidence: 1. The kitchen table was observed to be used by the children for breakfast. The table was used after breakfast by the children for puzzles. The table was not observed to be cleaned before or after use for either. 2.A high chair was used by a child for the provider to feed the infant breakfast. The high chair tray was not observed to be cleaned before or after use for breakfast.

Plan of Correction: The provider will make sure tables and high chair trays are cleaned as required.

Standard #: 22VAC40-111-900-B
Description: Based on observation, the provider failed to ensure that no child was allowed to eat or drink while walking around. Evidence: 1. A three year old child was observed walking around while drinking from a sippie cup.

Plan of Correction: The inspector pointed out the child walking around while drinking from the cup. The provider took the sippie cup from the child. The provider will make sure children do not eat or drink while walking around in the future.

Standard #: 22VAC40-111-350-E
Description: Based on measurement and interview with the provider, the provider failed to ensure that the hot water used by children was maintained within a range of 105 to 120 degrees Fahrenheit. Evidence: 1. The inspector observed the hot water and measured it with a digital thermometer. The temperature measured by the thermometer was 126 degrees Fahrenheit. The provider stated that a new water heater had been recently installed.

Plan of Correction: The provider will have her husband turn the temperature down on the water heater. The provider will check the temperature to make sure it is between 105 and 120 degrees Fahrenheit.

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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