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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: Aug. 11, 2017 and Sept. 6, 2017

Complaint Related: Yes

Areas Reviewed:
22VAC40-111 Personnel
22VAC40-111 Care of Children
22VAC40-111 Emergencies

Comments:
A complaint was received on 8/9/17 from a local agency reporting injuries to an infant in the provider's care. An unannounced complaint inspection was made on 8/11/17 with the local agency representative to initiate the complaint investigation. At attempt was made at 11:00 am and the provider was not home. The provider was contacted and informed the inspector that she was away from the home with the children in care. The provider opted to meet with the inspector and local agency representative at the local agency at 12:15 pm. The inspector and local agency representative met with the provider at the family day home at 1:00 pm on 8/11/17. A follow-up inspection was made on 9/6/17. The inspection was completed on 9/8/17 at the provider's home from 9:00 am until 10:00 am. Based on review of hospital records, interview with the provider, and review of provider records, the complaint was substantiated and violations were cited as a result. The provider was made aware of the subsidy requirement for reporting of a serious injury (with detailed information on when and how to report to come in the near future). There was also discussion with the provider about the number and seriousness of the violations in this complaint.

Violations:
Standard #: 22VAC40-111-840-B
Complaint related: Yes
Description: Based on review of an injury report documentation, the provider failed to ensure that all required information was documented on this report. Evidence: 1. The following required information was not documented on the injury report: caregiver present, future action to prevent recurrence of the injury, documentation of how the parent was notified, caregiver and parent signatures or two caregiver signatures.

Plan of Correction: The provider will make sure that the model form for injury reporting is used in the future to document all required information.

Standard #: 22VAC40-111-120-A
Complaint related: No
Description: REPEAT VIOLATION Based on interview with the provider, the provider failed to ensure that there was a record for each caregiver. Evidence: 1. On 8/11/17, the inspector was made aware through phone conversation via the local agency representative with the provider that the provider had children in care on 8/11/17. The provider stated that she would be able to leave the children with someone in order to meet the local agency representative at the local agency which is approximately 10-15 minutes from the provider's home. According to the provider, two children were in care and were left with a household member from approximately 12:00 pm until approximately 12:30 pm. This household member did not have a caregiver record.

Plan of Correction: The provider will not use any person as a caregiver who doesn't have the proper documentation for the job.

Standard #: 22VAC40-111-50-A
Complaint related: No
Description: Based on observation and interview, the provider failed to ensure that there was a written record of children in attendance each day. Evidence: 1. The provider did not have a record of attendance for 8/11/17. The inspector arrived at 1:00 pm and the attendance for 8/11/17 had not been completed. 2. The provider stated that two children had been in care from the early morning until approximately 12:30 pm on 8/11/17.

Plan of Correction: The provider corrected this during the inspection. She filled in the attendance for the day at approximately 1:30 pm after the children had left the family day home. The provider will ensure attendance is done at arrival of each child in the future.

Standard #: 22VAC40-111-90-A
Complaint related: No
Description: Based on record review, the provider failed to ensure that each child had an immunization record as required by ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations before the child is allowed to attend the family day home. Evidence: 1. There was no immunization record for child #1 whose first date of attendance was 7/19/17. 2. The immunization record for child #2 was dated on the form when printed and signed by the physician on 8/9/17. This child's first date of attendance was 7/17/17.

Plan of Correction: The provider will ensure that documentation of immunizations are obtained before a child is allowed to attend in the future.

Standard #: 22VAC40-111-140-B-3
Complaint related: No
Description: Based on observations, record review and interview, the provider failed to ensure that a substitute provider had current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: 1. A household member served as a substitute provider in the absence of the provider for approximately 30 minutes on 8/11/17. The household member did not have current CPR certification. According to the provider, she left two children ages two years and nine years in the care of a household member while she left the home to travel to the local social services agency for a meeting. The provider, based on sign in records at the local agency and attendance of the meeting by the licensing inspector, arrived at the local agency at 12:15 pm. According to the provider, the children were picked up by the parents at the family day home by 12:30 pm. The provider stated that she left the family day home at approximately 12:00 pm.

Plan of Correction: The provider will not leave the children in care with any person who is not certified in the future.

Standard #: 22VAC40-111-140-B-4
Complaint related: No
Description: Based on observations, record review and interview, the provider failed to ensure that a substitute provider had current certification in first aid. Evidence: 1. A household member served as a substitute provider in the absence of the provider for approximately 30 minutes on 8/11/17. The household member did not have current first aid certification. According to the provider, she left two children ages two years and nine years in the care of a household member while she left the home to travel to the local social services agency for a meeting. The provider, based on sign in records at the local agency and attendance of the meeting by the licensing inspector, arrived at the local agency at 12:15 pm. According to the provider, the children were picked up by the parents at the family day home by 12:30 pm. The provider stated that she left the family day home at approximately 12:00 pm.

Plan of Correction: The provider will not leave the children in care with any person who is not certified in the future.

Standard #: 22VAC40-111-560-A
Complaint related: Yes
Description: Based on interview with the provider and review of records, the provider failed to ensure that a caregiver was physically present providing direct care and supervision for each child at all times. Direct care and supervision is defined as: awareness of and responsibility for each child in care, including being near enough to intervene if needed. Evidence: 1. The provider stated that a six week old infant was placed in an infant seat on 8/7/17 in a play room with a two year old child in the room. The provider stated that both infant and two year old were awake. The provider stated that she went to the bathroom and left the children in the room together. The provider stated that the two year old was kneeling beside the infant and the provider observed reddish areas and "dots" on the infant's face when she came into the room where the two children were located. 2. Based on review of the pictures of the infant's face, the provider did not intervene to prevent multiple injuries to the child's face.

Plan of Correction: The provider will make sure an infant is not left alone with other children. If there are other children around, the provider will take the child(ren) with her when leaving the room.

Standard #: 22VAC40-111-560-D
Complaint related: Yes
Description: Based on interview with the provider and review of records, the provider failed to ensure that infants were protected from older children. Evidence: 1. Based on the provider's statements, a two year old child caused injuries to a six week old infant's face. The provider stated that the two year old was left in a room with the infant while the provider was not in the room. The six week old infant was not protected from the older child as required. The provider stated that the two year old was observed kneeling by the infant when the provider returned to the room and reddish areas and "dots like" were observed on the infant's face. 2. According to an injury report written by the provider, a child scratched the infant's face.

Plan of Correction: The provider will make sure an infant is not left alone with other children. If there are other children around, the provider will take the child(ren) with her when leaving the room.

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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