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Betty Adams
6468 Franklin Road
Boones mill, VA 24065
(540) 989-6517

Current Inspector: Julia Kimbrough (276) 608-4267

Inspection Date: April 3, 2017

Complaint Related: No

Areas Reviewed:
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
63.2 Child Abuse and Neglect
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The outdoor wooden play structure which is installed and is currently not in use due to the age of the children enrolled. The wooden structure is installed in the middle of decking which is a hard surface. When the wooden structure is used in the future, a protective surface must be in place around the entire piece of equipment.

Comments:
Today's visit was a routine monitoring inspection. The inspection began at 10:15am and concluded at 12:40pm. There were two caregivers present with five children and a total of eighteen points. During the inspection the outdoor area was viewed, nap time was observed for some of the children, two of seven children's records were reviewed, one out of two caregivers records were reviewed, infant care was observed. children's activities were observed, emergency supplies were viewed, and some policies and procedures were reviewed. It is the provider's policy not to administer medication and transportation. The provider stated it is herself and spouse are the only persons residing in the household. Thank your for your time, please call met at 309-2051 if you have any questions.

Violations:
Standard #: 22VAC40-111-800-B
Description: Based on the inspector's review of the family day homes written emergency preparedness plan, the provider failed to ensure the plan had been reviewed annually and updated as needed. Evidence: the inspector reviewed the emergency preparedness plan and the last documented review was dated 12/6/13. This plan is required to be reviewed and updated if needed at least annually.

Plan of Correction: The provider will review the emergency preparedness plan by the end of the program day and document the review.

Standard #: 22VAC40-111-940-B
Description: Based on the inspector's observations, the provider failed to ensure to have an available thermometer to monitor the refrigerator and freezers. Evidence: The inspector could not locate a thermometer in the refrigerator or freezer to monitor the temperature. The provider stated it had broken.

Plan of Correction: A thermometer will be purchased by the end of the program week.

Standard #: 22VAC40-111-960-E
Description: Based on the inspector's observations, there were six prepared bottles stored in the refrigerator and a portion of the bottles were not labeled with the child's full name and none of the bottles were dated. Evidence #1: The inspector observed two out of six bottles in the refrigerator and they were not labeled with the children's full names. Evidence #2: The inspector observed a total of six bottles and none of the bottles were dates.

Plan of Correction: The provider will ensure prepared bottles are dated and labeled with the child's full name when more than one child with a bottle is in care.

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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