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Mrs. Barbara Staples
9 Briar Hill Drive
Fieldale, VA 24089
(276) 629-6035

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Sept. 8, 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.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
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
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
An unannounced Renewal inspection was conducted in the Family Day Home on September 8, 2017. Upon arrival, the LI observed 2 children in the care of the Provider. After the LI's arrival, an Assistant and two additional children arrived which included a child's arrival after school, transported to the FDH by school bus. Based on the children's ages, the points totaled 8. The children were served an afternoon snack. The children were observed during play and a teacher-directed activity. Dismissal procedures were observed at the end of the day. A sample review of records consisted of 5 children's, 2 caregivers' and 1 household member. Documentation of the practiced emergency drills was reviewed. The Provider reported medications are not administered. Currently there are no children with a diagnosed food allergy. The LI discussed background changes and the revised sworn statement with the Provider and Assistant. The on-site inspection was conducted from approximately 2:00pm to 5:30pm. Findings of the inspection were reviewed at exit. If you have any questions, please call (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-730-D
Description: Based on direct observations, the Provider failed to ensure medications for household members were kept in a locked place using a safe locking method that prevents access by children. Evidence: The LI observed a prescribed medication, vials for nebulizer treatment, in a small box sitting on a counter in the kitchen over the microwave and close to the dining table.

Plan of Correction: All medications will be stored locked and out of reach of children.

Standard #: 22VAC40-111-750-A
Description: Based on the LI's direct observations, the Provider failed to meet requirements for topical skin products such as sunscreen, diaper ointment and lotion, oral teething medicine and insect repellent: 1.) written parental authorization noting any known adverse reactions shall be obtained at least annually; 2.) the product shall be in the original container and, if provided by the parent, labeled with the child's name; B. the product does not need to be kept locked, but shall be inaccessible to children. Evidence: 1. The LI observed an over-the-counter diaper ointment lying close to the diapering table. 2. The ointment was not labeled. Caregivers reported that the ointment belonged to child #3. 3. The ointment was accessible and within reach of a school-age child.

Plan of Correction: The Provider will label the ointment with the child's name and will request that the parent sign an authorization form to use the diaper ointment on the child. All diaper ointments will be stored out-of-reach of children.

Standard #: 22VAC40-111-780-B
Description: Based on a sample review of children's records, the Provider failed to annually review with the parent the emergency contact information and obtain the parent's signed acknowledgment of the review. Evidence: 1. One of five records did not contain the parent's signed acknowledgment of an annual review; the record for child #2 was dated and signed by the parent on 07/15/15. 2. It was verified by interview with the Provider that part of the required written information was no longer current.

Plan of Correction: The Provider will review the child's record with the parent to obtain current information. The parent will sign and date the review.

Standard #: 22VAC40-111-60-B
Description: Based on a sample review of children's records, the Provider failed to ensure children's records were complete with the following information: 3.) first and last dates of attendance. Evidence: 1. The first dates of attendance was not recorded in the records of children #3 and #5. The last date of attendance was not recorded in record for child #4. 2. After being informed, the Provider completed the information based on information that was recorded in the Assistant's attendance book.

Plan of Correction: The Provider and Assistant will review records to ensure all required information is complete.

Standard #: 22VAC40-111-70-A
Description: Based on a sample review of children's records, the Provider failed to provide written information to inform a parent whether or not there is liability insurance of at least $100,000 per occurrence and $300,000 aggregate in force on the family day home operation as required by section 63.2-1809 of the Code of Virginia. Evidence: The insurance disclosure form reviewed in the record of child #5 did not have complete information to verify if insurance was in effect or not.

Plan of Correction: The Provider will complete the information and will provide a copy to the parent.

Standard #: 22VAC40-111-410
Description: Based on direct observations, the Provider failed to ensure a portable electric fan was securely mounted out of the reach of children. Evidence: A portable electric fan was observed sitting on the floor accessible to children in the front room where children were in care.

Plan of Correction: The fan will be removed. The Provider will check into having a wall-mounted fan installed.

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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