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Ms. Rebekah Rogers
3060 Watts Farm Road
Charlottesville, VA 22911
(434) 422-0172

Current Inspector: Barbara Workman

Inspection Date: April 10, 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.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
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.

Comments:
An unannounced monitoring inspection was conducted on April 10, 2017 during the hours of approximately 10:40 a.m. and 2:30 p.m. Eight children were enrolled and seven children were in the care of the provider and one assistant during the on site inspection. Two resident children were also present in the home (total of 30 points). Four children's records and two assistants' records were reviewed; the provider's record and one household member's record were up-to-date and, therefore, not reviewed. No medications were administered on this date, as is the policy of this family day home. Facility documents were reviewed, safety equipment was observed (first aid kit, flashlight, radio and fire extinguisher) and posted information was viewed (license, licensing inspection documentation, daily schedule, weekly menu, emergency telephone numbers, and emergency evacuation diagram/plan). Program observation was completed. Activities observed on this date included: arrival of one child; indoor play (toys, books/stories and play doh); outdoor play; lunch; diapering and handwashing procedures; music time; naptime; and afternoon snack. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The children followed the daily routine and transitions well. Substantial compliance with the licensing standards was observed. Refer to the violation notice for the exceptions to compliance (background clearances, caregiver and children's records and fireplace inspection). Areas of discussion included: background clearances, weekly menu, recording attendance/identifying children in care at any time and the use of sippy cups. 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 #: 22VAC40-111-100-A
Description: Based on review and/or update of four children's records and discussion with caregiver #1 on April 10, 2017, the provider failed to obtain documentation of a physical examination within 30 days after one child's first day of attendance. Evidence: 1. Review of child C's record, on this date, revealed that documentation of a physical exam was not included in the child's record (date of initial attendance - 2/01/2017). 2. Caregiver #1 confirmed the lack of a physical exam.

Plan of Correction: The child's parent(s) will be contacted and documentation of a physical exam will be obtained.

Standard #: 22VAC40-111-120-A
Description: Based on review and/or update of two caregiver records and discussion with caregiver #1 on April 10, 2017, the provider failed to check and document one reference for one caregiver. Evidence: 1. Review of caregiver #3's record, on this date, determined that only one reference had been obtained. A second reference was not checked and documented. 2. Caregiver #1 confirmed the lack of documentation for a second reference.

Plan of Correction: A reference with be checked and documented.

Standard #: 22VAC40-111-60-B
Description: Based on review and/or update of four children's records and discussion with caregiver #1 on April 10, 2017, the provider failed to obtain medical insurance policy numbers for two enrolled children. Evidence: 1. Review of child C's and child D's records, on this date, established that the medical insurance policy numbers were not included in the children's records. 2. Caregiver #1 confirmed the lack of documentation in the records.

Plan of Correction: The children's parents will be contacted and the information will be obtained and documented in the records.

Standard #: 22VAC40-111-90-A
Description: Based on review and/or update of four children's records and discussion with caregiver #1 on April 10, 2017, documentation that one child had been adequately immunized was not obtained before the child's first day of program attendance. Evidence: 1. Review of child C's record, on this date, determined that an immunization record was not on file. 2. Caregiver #1 confirmed the lack of an immunization record.

Plan of Correction: The child's parent(s) will be contacted and a copy of the immunization record will be obtained.

Standard #: 22VAC40-111-320-G
Description: Based on review of records and discussion with caregiver #1 on April 10, 2017, the provider failed to obtain an annual fireplace inspection. Evidence: Discussion with caregiver #1 determined that an annual fireplace inspection had not been completed. The date of the initial inspection was 3/26/2016.

Plan of Correction: A fireplace inspection will be obtained.

Standard #: 22VAC40-191-40-D-1-b
Description: Based on review and/or update of two caregiver records and discussion with caregiver #1 on April 10, 2017, the program failed to obtain a criminal history record check before 30 days of employment ended. Evidence: 1. Review of caregiver #3's record, on this date, revealed that a criminal history record check was not on file (employment date 1/30/2017). 2. Discussion with caregiver #1 verified that the background check request was submitted for processing but had not yet been received. Caregiver #1 had not followed up to check on the status of the background clearance.

Plan of Correction: Follow-up will be completed to check on the status of the background request. A criminal history record check will be obtained for the employee.

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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