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Mrs. Joan Green
710 Halifax Street
Emporia, VA 23847
(434) 348-0799

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Oct. 3, 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 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
1. Standard 580.C.2 was reviewed and discussed. "Daily age-appropriate activities shall include opportunities for vigorous outdoor play daily, depending upon the weather, the ages, and the health of the children" 2. The backyard is not in use at this time for outdoor play according to the provider and assistant. *The following areas of concern (in the fenced outdoor play area) were identified;: a. Remove broken tables; b. Remove and/or repair the cracked areas of plastic on the little tikes slide/climber. c. Remove and/or repair broken picnic table; d. The picnic tables have areas of peeling paint. 3. Please ensure that items surrounding cribs are removed whenever cribs are occupied. Another option is to move the cribs away from the storage units/boxes when children are napping.

Comments:
An unannounced monitoring inspection was conducted on 10/03/2017 from 10:45am - 12:40 p.m.. At the time of entrance there were five children in care with two caregivers. The ages of the children counted for a total of 14 points. Children were observed at the conclusion of morning snack. Morning activities were observed in the child care room. One diaper change was reviewed. Records were reviewed for five children, the provider, four additional caregivers and one household member. The inspector additionally reviewed emergency supplies, written emergency plans & procedures, the posted menu, and infant cribs. *The provider has stated that no medication is being administered at this time. *Transportation standards were not reviewed as the provider stated that the day care van is not in use at this time. The violations are listed on the violation notice and were reviewed with the provider at the conclusion of the inspection.

Violations:
Standard #: 22VAC40-111-90-C
Description: Based on record review and interview, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The most recent immunizations on file for child #1 were administered on 10/20/2016. a. Child #1 was in care during the inspection and is under the age of two years. 2. The most recent immunizations on file for child #2 were administered on 11/30/2016. a. Child #2 was in care during the inspection and is under the age of two years. 3. The most recent immunizations on file for child #3 were administered on 5/26/2015. a. Child #3 was in care during the inspection and the immunization schedule was incomplete. 4. The provider confirmed that updated immunization documentation had not been obtained.

Plan of Correction: Each parent will be asked to provide a copy of their child's updated immunizations no later than Monday, October 9, 2017.

Standard #: 22VAC40-111-540-A
Description: Based on observation, the provider failed to ensure that when high chairs are occupied by a child, a safety strap shall be used and securely fastened. Evidence: 1. A child was observed sitting in a high chair eating morning snack at 10:50am. The safety strap was not engaged.

Plan of Correction: The safety strap was engaged during the inspection.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider failed to ensure that the diapering surface shall be nonabsorbent and washable. Evidence: 1. The diapering pad had one rip, measuring approximately 1/2 inch in length, on the surface. a. Tears in the plastic allow germs to migrate into the padding underneath therefore, preventing proper cleaning and sanitizing.

Plan of Correction: A new diapering pad was on hand in the home. The provider replaced the torn pad with a new pad during the inspection.

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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