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Ms. Sharon Gregory
21467 Twin Hill Lane
Carrollton, VA 23314
(757) 357-5189

Current Inspector: Anita Drewry (757) 404-5261

Inspection Date: May 30, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
During this inspection inspector discussed 22VAC-40-111-210 with the provider.

Comments:
An unannounced monitoring inspection was conducted from 12:15pm to 1:30pm. At the time of inspectors arrival there were 9 children, ages 7 mos to 4 years, for a total of 26 points, in care with the provider and one assistant provider. The records sample size consisted of 5 children's records and 3 provider / substitute/ household member records. Children were observed playing indoors, and transitioning between activities. The provider stated that no medication is administered to children while in care and there have been no injuries since the last inspection. Areas of noncompliance are identified in the violation notice and were discussed with the provider during the meeting at the conclusion of this inspection.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review and interview it was determined the provider did not 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: The record for child #5(enrolled 6/8/15) did not contain documentation of a physical examination. The provider confirmed that there was no documentation of a physical examination available during this inspection.

Plan of Correction: Provider will request documentation from the parent at pick-up.

Standard #: 22VAC40-111-60-B
Description: Based on record review and interview it was determined the provider did not ensure that each child's record contained all of the required components. Evidence: 1. The record for child #1(enrolled 1/4/16) did not contain the complete address for 1 of the 2 required emergency contacts. 2. The record for child #3(enrolled 4/3/17) did not contain the child's insurance policy number. Both of the children listed above were in care during this inspection. The provider confirmed that these components were not in the children's records.

Plan of Correction: Provider will request this information from parents at pick-up.

Standard #: 22VAC40-111-90-C
Description: Based on record review and interview it was determined the provider did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for child #4(DOB11/17/15) did not contain updated immunization documentation. The provider confirmed the immunization documentation available was dated 5/5/16.

Plan of Correction: Provider will request documentation from parent at pick-up.

Standard #: 22VAC40-111-180-A
Description: Based on record review and interview it was determined the provider did not obtain for each adult household member a current Report of Tuberculosis Screening form, in accordance with the requirements in 22 VAC 40-111-170, every two years from the date of the first screening or more frequently as recommended by a physician or the local health department. Evidence: The record for the household member did not contain a . The provider confirmed the documentation available was dated 5/14/15.

Plan of Correction: The household member will get a current Report of Tuberculosis Screening form.

Standard #: 22VAC40-111-240-A
Description: Based on observation it was determined the provider did not ensure that all areas and furnishings of the family day home, inside and outside, were maintained in a safe, and operable condition. Evidence: The swings outdoors had rusted chains.

Plan of Correction: The provider will replace the chains on the swings.

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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