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Ms. Tamara Gilchrist
10715 Locust Court
Fredericksburg, VA 22407
(540) 841-9738

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: June 2, 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
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:
National fingerprinting will be required for all persons over the age of 18 residing in the home. Further information will be disseminated over e-mail in the next few weeks.

Comments:
An unannounced renewal inspection was conducted with provider. There were three day care children and three residential children present totalling 15 points. The day care children are 17 months, 17 months, and 4 years old. The resident children are 17 months, age 4, and age 3. Three childrens files and four household files were reviewed - see Supplemental Summary for missing items. The provider's first aid and CPR is valid until 1/9/2018. The children were settling down for rest time. Time of today's inspection: 12:30 p.m. to 2:00 p.m.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on review of three children's records, the provider failed to have all required information in each child's file. Evidence: Child A and Child B did not have the home address or home phone number for the custodial guardian. Child A and B did not have the name address, and phone number of custodial guardian's place of employment. Child B did not have the name and policy number of the child's medical insurance.

Plan of Correction: Provider will request the information from the custodial guardian.

Standard #: 22VAC40-111-170-A
Description: Based on review of four household files, the provider failed to have a tuberculosis test or screening for each adult household member prior to coming into contact with children. Evidence: Household member 3 did not have documentation of a tuberculosis test or screening.

Plan of Correction: Household member 3 was going to have the tuberculosis test read today.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on review of four household records, the provider failed to have a repeat search of the central registry (CPS check) for all household members. Evidence: Household member 2 did not have documentation of a repeat search of the central registry (expired 5/9/2017).

Plan of Correction: Household member 2 has a repeat search of the central registry, but left it at the employer. The CPS check will be picked up from the day 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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