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Ms. Sabrina Wilson
1808-B Solomon Road
Charlottesville, VA 22901
(434) 382-7971

Current Inspector: Michelle W. Argenbright (540) 848-4123

Inspection Date: Sept. 14, 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
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:
Thank you for your time and assistance during the unannounced focused monitoring inspection conducted on September 14, 2017 between the hours of approximately 10:32 a.m. and 1:00 p.m. Twelve (12) children were enrolled and nine children were in the care of two caregivers on this date. One visitor/volunteer was also present in the home. Three children's records and three caregivers' records were reviewed and/or updated. No medications were administered on this date. Facility documents and posted information were observed/reviewed. The lunch provided on this date included chicken, macaroni and cheese, carrots, grapes, applesauce, crackers and milk. Program observation was completed. Observed activities included: indoor play (toys); stories; group game; restroom, diapering and handwashing procedures; lunch; and naptime. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. One previously cited violation (inspection date - 7/06/2017) was reviewed for compliance; no repeat violations were cited. The exceptions to compliance were noted on the accompanying violation notice. Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of two children's records and discussion with caregiver #1 on September 14, 2017, the facility failed to obtain a physical exam report for one child. Evidence: 1. Review of child B's record, on this date, determined that documentation of a physical exam report was not on file. The first date of attendance was 7/25/17. 2. Caregiver #1 confirmed the lack of a physical exam report in the child's record.

Plan of Correction: A physical exam report will be obtained.

Standard #: 22VAC40-111-120-A
Description: Based on review of caregiver #2's record and discussion with caregiver #1 on September 14, 2017, verification of age and references were not included in one caregiver's record. Evidence: 1. Review of caregiver #2's record, on this date, determined that verification of age and references were not included in the record. 2. Caregiver #1 confirmed that verification of age and references were not on file.

Plan of Correction: Verification of age and references will be obtained and included in the caregiver's record.

Standard #: 22VAC40-111-90-C
Description: Based on update of one child's record and discussion with caregiver #1 on September 14, 2017, the provider failed to obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1. Update of child C's record, on this date, determined that an updated immunization record had not been obtained within the past six months (date of most recent immunizations - 9/07/2016). 2. Caregiver #1 confirmed the date of the last immunizations.

Plan of Correction: An updated immunization record will be obtained.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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