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Ms. Robbin Reid
125 Squire Reach
Suffolk, VA 23434
(757) 537-8132

Current Inspector: Rene Old (757) 404-1784

Inspection Date: March 31, 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
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
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.

Technical Assistance:
Reminder: All caregivers are required to obtain 16 hours of annual training. The terms of the license was reviewed and discussed with the provider.

Comments:
An unannounced renewal inspection was conducted on 03/31/2017 from 10:40am - 1:10pm . At the time of entrance there were 12 children in care with two caregivers. The ages of the children counted for a total of 25 points. Children were observed during morning program time which included free play and group games with the provider. Children were provided with a variety of activity choices throughout the morning. Lunch was reviewed which consisted of chicken pita sandwiches, corn, applesauce and milk. Music and movement was observed after lunch. Records were reviewed for two caregivers and seven children. The entire home was reviewed however, the backyard play area only reviewed a cursory review due to heavy rain. No medication is being administered at this time. The violations are listed on the violation notice and were reviewed with the provider at the exit interview.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review and interview, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1. There was no documented physical on file for child #3. Child #3 has an enrollment date of 2/17/2017 and was in care during the inspection. 2. The provider stated she could not locate the physical exam for child #3.

Plan of Correction: The provider stated she had obtained a physical for child #3 however, she could not locate it. The parent was contacted during the inspection and the parent agreed to bring a copy of the physical to the provider today.

Standard #: 22VAC40-111-30-A
Description: Based on record review and observation, the provider failed to ensure compliance with the terms of the current license issued by the department of social services. *The current license allows for an age range of two years through 12 years. Evidence: 1. When the inspector arrived at 10:40am there were two children in care under the age of two years. 2. A review of enrollment records for child #1 and child #2 confirmed that both of these children were under the age of two years.

Plan of Correction: The provider stated that she had requested an age range change to 16 months through 12 years on the renewal application which was submitted on 2/6/2017. By submitting the request, the provider stated she thought this would allow her to begin caring for children between the age of 16 months and 12 years.

Standard #: 22VAC40-111-90-A
Description: Based on record review and interview, the provider failed to ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: 1. Child #3 lacked documentation of required immunizations. Child #3 has an enrollment date of 2/17/2017 and was in care during the inspection. 2. The provider stated she could not locate immunization documentation for child #3.

Plan of Correction: The provider stated she had obtained immunizations for child #3 however, she could not locate the immunizations. The parent was contacted during the inspection. The parent stated she would bring a copy of child 3's immunization records today.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: One outlet in the child care room lacked a protective cover.

Plan of Correction: A protective cover was placed in the outlet during the inspection.

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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