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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: Oct. 3, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies

An unannounced inspection was made as a requirement, within 60 days, to follow up on the Intensive Plan of Correction (IPOC) that the provider submitted to the Division of Licensing - Children's Programs office on 8/22/17. The areas of non-compliance addressed on the IPOC were: children's records, caregiver records, menu, rest areas/equipment (cribs, play pens), background checks. There were repeat violations from the IPOC. Six children's records were reviewed, a household member's record was reviewed, and observations were made of the menu and sleeping equipment. The inspector arrived at the family day home at 2:15 pm and departed at 3:30 pm.

Standard #: 22VAC40-111-100-A
Description: Based on record review and interview with the provider, the provider failed to ensure that there was documentation of a physical examination by or under the direction of a physician prior to the child's attendance or within 30 days after the first day of attendance. Evidence: 1. There was no documentation of a physical in the record of child #5. The first date of attendance for child #5 was 7/17/17. Child #5was in care during the inspection. 2. The provider was asked about the physical and asked the inspector if the child needed a physical. The inspector informed the provider that each child must have a physical examination within 30 days of attendance if not before.

Plan of Correction: The provider will ask the parent to provide a physical.

Standard #: 22VAC40-111-510-A
Description: Based on observation, the provider failed to ensure that a child was provided with a cot or rest mat for resting or napping. Evidence: 1. A two year old in care was observed asleep, wrapped in a child size blanket, on an adult sized chaise type sofa seat. The sofa was cloth and did not have any other linens. This was the only child in care at the family day home during the inspection.

Plan of Correction: The provider will make sure that a child uses their individual crib, cot, rest mat, or bed for resting or napping in the future.

Standard #: 22VAC40-191-40-D-4-a
Description: REPEAT VIOLATION 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 Criminal Record Check (CRC) was completed. Evidence: 1. The inspector noticed that a household member became 18 years old on April 12. The household member did not have a completed CRC. The provider stated that she had sent a CRC in August after the violation was cited 5/30/17 to the VA State Police and that it was returned by the VA State Police to the provider. The provider could not produce the returned CRC. The household member, according to the provider, left for college on August 27 and has not been able to sign the CRC to re-submit it.

Plan of Correction: The provider will re-submit the CRC week after next after the household member returns to the home to sign it.

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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