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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Pauline Henley
801 Ebenezer Road
Amherst, VA 24521
(434) 363-5522

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: May 30, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

An unannounced monitoring inspection was completed on 5/30/17. There were two children in care with a point total of six. Two newly enrolled children's records were reviewed and four children's records were reviewed for annual updates only. No medication was being given as reported by the provider. The inspector arrived at the provider's home at 1:30 pm and departed at 5:30 pm. The children were observed during nap, during an infant feeding that was started prior to the inspector arriving, and afternoon snack. The provider did not provide any transportation during the inspection. There was discussion with the provider about the following: the trampoline in the back yard that was not at the home at the last inspection - the standards prohibit use, the use of the pool for the children in care - the provider asked about what needed to be done if it is used and the standards for swimming and wading were reviewed, the requirements if using another caregiver (orientation training, first aid and CPR training, VA Preservice training, 16 hours of annual training), completing a fire drill for May on tomorrow, completing a second shelter-in-place for 2017, completing a lock down drill, adding reunification procedures for all emergency plans (evacuation, shelter-in-place, and lock down), keeping check on the condition of the back deck for possible needed repairs/maintenance, subsidy requirements for any food allergies, intolerances, sensitivities for any children enrolled in future (with allergy plan by physician) - also having USDA monitor as a resource for this, if the school-age children were picked up during this inspection what was the plan for supervising the two children in care.

Standard #: 22VAC40-111-920
Description: REPEAT VIOLATION Based on observation, the provider failed to ensure that the menu for the current one-week period was posted. Evidence: 1. The menu for the week of May 22-26 was posted. The menu for this week was not posted. The provider stated that she was still working on the menu.

Plan of Correction: This was corrected during the inspection. The provider completed the menu and posted it. The provider will make sure that the menu is posted before the week starts in the future.

Standard #: 22VAC40-111-120-A
Description: Based on observation and interview with the provider, the provider failed to ensure that a record was maintained for each caregiver. Evidence: 1. The definition of caregiver is an individual who provides care, protection, supervision, and guidance to children. 2. An adult household member was observed providing care for an infant, nine months old, during the inspection. The household member was in a personal bedroom of the home with the door closed holding the infant while feeding the infant. The household member was sitting on their own bed, watching TV while holding the infant in her lap. 3. The household member would be required to have a complete caregiver record which includes orientation training as a part of the requirements for a caregiver because of the activity of the household member caring for the child. The household member was caring for the child for approximately 45 minutes from arrival of the inspector until the duties of the household member were discussed with the provider. The infant was observed to be crying loudly during most of this time.

Plan of Correction: The provider will not use the household member as a caregiver in the future. If the household member is helping the provider, the provider will be in sight and sound of the household member and the household member will not provide direct care and supervision of the children.

Standard #: 22VAC40-111-60-B
Description: REPEAT VIOLATION Based on record review, the provider failed to ensure that the children's records were updated annually as required. Evidence: 1. The record of children #1,2,3,4 were not updated annually as required. Children #1 and #2 last update was completed 5/6/16 and children #3 and #4 last update was completed 4/26/16.

Plan of Correction: The provider will have the parents update the children's records this week and at least every year after that.

Standard #: 22VAC40-111-170-A
Description: Based on observation, interview, and record review, the provider failed to ensure that an adult household member had a completed tuberculosis (TB) test prior to coming into contact with children. Evidence: 1. There was an adult household member observed in contact with the children. There was no TB test that had been completed for the household member. The household member would have been required to have a test completed by 4/12/17.

Plan of Correction: The provider will have the household member complete a TB test.

Standard #: 22VAC40-111-360-C
Description: Based on observation, the provider failed to ensure that children were not allowed access to garbage storage areas. Evidence: 1. There were three large (larger than 13 gallon bags) garbage bags full of garbage observed within a few feet of the child care entrance door on the back porch of the provider's home. The garbage bags were not contained and had exposed trash at the openings.

Plan of Correction: The provider will have the bags removed today. The provider will ensure that garbage is contained in the future and not accessible to the children if not removed from premises.

Standard #: 22VAC40-111-510-A
Description: Based on observation and interview with the provider, the provider failed to ensure that each child was provided with an individual crib, cot, rest mat, or bed for napping. Evidence: 1. A nine month old infant did not have a crib provided for resting/napping. The infant was enrolled on 1/17/17 when the infant was four months old. The provider has not had a crib for the infant during the time between 1/17/17 and the date of the inspection (5/30/17).

Plan of Correction: The provider will purchase a crib.

Standard #: 22VAC40-111-550
Description: Based on observation and interview with the provider, the provider failed to ensure that a play pen was not used in accordance with the standards. Evidence: 1. A play pen was observed in a bedroom where a child was napping on a mat. The provider was asked about use of the play pen and stated that it was used for the infant for naps. The standards specifically state that play pens shall not be used for the designated sleeping area. The infant was four months when enrolled in care with the provider and is now nine months old. The play pen has been used for four months as the provider stated that she did not have a crib for the infant.

Plan of Correction: The provider will purchase a crib. The play pen will only be used for play time when the infant is awake.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review and interview with the provider, the provider failed to ensure that when a person in the home becomes 18 years old that a Sworn Statement or Affirmation and Criminal Record Check (CRC) were completed. Evidence: 1. The inspector noticed that a household member became 18 years old on April 12. The household member had not completed a Sworn Statement or Affirmation and did not have a completed CRC. The provider stated that she had not sent a CRC to the VA State Police as of the date of the inspection.

Plan of Correction: The household member completed the Sworn Statement during the inspection. The provider will send the CRC form to the VA State Police next week.

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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