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Ms. Janice Roberts
52 Deborah Drive
Lynchburg, VA 24501
(434) 237-1658

Current Inspector: Kelly Ann Campbell (540) 309-2494

Inspection Date: Oct. 27, 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.

Technical Assistance:
The Provider requested information regarding the VA Pre-service training and also requested to be added to the registration list for the Fall Provider Training. A copy of the renewal application was provided. Please complete the application and submit with the fees to the Licensing office within the next 5 days.

Comments:
An unannounced Renewal inspection was conducted in the Family Day Home on October 27, 2017. The Provider and two children were present. Based on the children's ages, the points totaled 6. The children were observed during free play, the lunch meal, nap/rest time and check-out procedures for one child. A sample of five children's records and one caregiver record was reviewed. Documentation of the FDH's emergency preparedness plan and practiced emergency drills were reviewed. As reported, the Provider does not administer medications. Areas of the home used for child care was observed. The caregiver was observed interacting with the children. Findings of the inspection were reviewed at exit and a plan of correction was provided by the Licensee. The inspection was conducted from approximately 11:00am to 3:30pm. If you have any questions, please call (540)309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on a sample review of children's records, the Provider failed to ensure the required emergency information defined in Standard 22VAC40-111-60-B.2. was annually reviewed with each parent and a parent's signature obtained to acknowledge the review. Evidence: Two of five reviewed records (children 4 and 5) did not indicate an annual review and update, the date noted on each record was 05/31/16.

Plan of Correction: The Provider will review all children's records with their parent and will have the parent date and sign the review. The Provider is going to have all records scheduled for the same review month each year.

Standard #: 22VAC40-111-800-B
Description: Based on documentation reviewed, the Provider failed to document in writing each annual review and update to the emergency plan. Evidence: The reviewed document was dated 02/21/16.

Plan of Correction: The Provider will copy the emergency preparedness plan to a new form and will sign and date.

Standard #: 22VAC40-111-100-A
Description: Based on a sample review of children's records, the Provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: 1.Documentation of a physical examination was not available for review in two of five reviewed records (children 2 and 3). 2. The children's first date of attendance was noted as 08/14/17.

Plan of Correction: The Provider will request copies of the physical examinations for each child, documentation will be maintained in each child's record.

Standard #: 22VAC40-111-60-B
Description: Based on a sample review of 5 children's records, the Provider failed to ensure that the following information was in each child's record: policy number of the child's medical insurance. Evidence: Two of five reviewed records noted the name of the insurance provider, information identifying the policy number was not complete (children 2 and 3).

Plan of Correction: The parent will be requested to provide the information, the information will be documented in the child's record.

Standard #: 22VAC40-111-180-A
Description: Based on Provider interview and reviewed documentation, the Provider failed to obtain a current tuberculosis screening every two years from the date of the first screening. Evidence: Documentation of the TB screening/test for caregiver 1 was not current, the document was dated 05/07/15.

Plan of Correction: An appointment will be scheduled to update the TB screening for caregiver 1.

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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