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Ms. Deanna Southern
41 Winding Way Road
Boones mill, VA 24065
(540) 334-5437

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: April 19, 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
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
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:
The provider inquired about adjusting her hours of operation to include nights and weekend care.

Comments:
An unannounced mandated renewal inspection was conducted on 4/19/2017 in the Family Day Home. There were 12 children in care with the provider and an assistant present. Based on the ages of the children, the points totaled 31. During this inspection the LI's observed varied activities: rest time, children at play, cleaning and sanitizing of the tables and high chairs, hand washing, afternoon snack, and the arrival of school-aged children. A sample of records were reviewed: 3 caregivers' records and 3 children's records. A prescribed medication and authorization to administer was observed; both care givers are Medication Administration Trained (MAT) certified. The childcare areas were clean and age-appropriately equipped. Finding of today's inspection were reviewed at exit. The inspection was conducted from approximately 12:10 p.m. to 4:10 p.m. Thank you for your time today. If you have any questions please contact the Inspector at 540-309-2310.

Violations:
Standard #: 22VAC40-111-170-B
Description: Based on reviewed records, documentation of the Tuberculosis test for a caregiver was not signed by a physician, physicians' designee, or an official of the local health department. Evidence: The document reviewed in the record of caregiver 3 for the TB test indicated the test was administered at a health facility, but was not read by the same facility. The TB test was read by an Registered Nurse who is employed at a local hospital, it could not be verified that the individual was acting as the Physicians' designee.

Plan of Correction: The Provider will request documentation of a verified TB screening for the caregiver for record retention.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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