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Ms. Clara Bush-Woods
710 West Washington Street
Henrico, VA 23075
(804) 869-3475

Current Inspector: Ivey Newman (804) 662-9762

Inspection Date: Oct. 31, 2017 and Nov. 7, 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 Nutrition
22VAC40-80 THE LICENSE.
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
An exit meeting was completed by the licensing inspector with the caregiver to review the findings of today's inspection.

Comments:
The licensing inspector initiated an unannounced renewal inspection on Tuesday, October 31, 201 from 9:30 am to 10:24 am and the completion of the inspection took place on Tuesday, November 7, 2017 from 11:40 am to 1:00 pm to ensure the family day home's compliance of licensing standards. During the inspection on 10/31/17, there were two children observed in care totaling 6 points with only the assistant caregiver present. On 11/07/17, the children were observed by the inspector at the family day home in the designated area participating in a variety of school activities to include relay racing for physical education and interacting with peers. The licensing inspector received assistance from the provider throughout the inspection. During this inspection, there were 5 children totaling 9 points being cared for by the caregiver. The children in care were observed by the licensing inspector participating in various activities to include playing with age appropriate toys, watching Despicable Me, playing with a variety of instruments, and listening to interactive musical songs. The licensing inspector also interacted with the caregiver and the children when appropriate. The caregivers were observed providing age appropriate supervision and addressing children's overall needs. The bathroom, kitchen, and designated childcare areas were inspected by the licensing inspector during both inspections. The designated areas for childcare were deemed appropriate and equipped with age appropriate toys and materials to meet the ages and stages of development of the children. The inspector reviewed the required postings to include license, prior inspection summary, emergency maps, and menu. The first aid kit and emergency supplies, fire, shelter-in-place, and lockdown drills, thermometers, and emergency preparedness plan were inspected and determined to be in compliance with the licensing standards. The lockdown procedures and emergency preparedness plan were reviewed by the inspection. The emergency preparedness plan was last updated on 07/05/17. There were five children's, the provider's, one provider's assistant, and two household member's records reviewed for compliance of standards. There are currently no medications being administered by providers.
Last fire drill: 11/01/17
Last shelter in place drills: 08/20/17 & 10/08/17
Lockdown drill: 08/10/17
The Department has received a complete renewal application and annual fee from the family day home. If you have any questions about this inspection, please contact the licensing inspector, Tiffany Harris, at (804) 662-9772.

Violations:
Standard #: 22VAC40-111-920
Description: Based on observation, the caregiver did not ensure the menus are current for a one week period. Evidence: During the initial inspection on 10/31/17, the inspector observed the menu posted dated 02/26/17-03/04/17. The menu provided by the family day home shall be for the current one week period.

Plan of Correction: Provider will ensure menus are updated.

Standard #: 22VAC40-111-150-C
Description: Based on observation, the caregiver did not ensure the assistant 18 years of age or older was not left alone with children in care for more than two hours per day. Evidence: During the inspection on 10/31/2017, the inspector observed the caregiver's assistant providing care for two children alone. Interviews with the assistant and caregiver revealed that the assistant has been left alone with the children in care for more than two hours per day during multiple occasions as a result of the caregiver's emergency situation.

Plan of Correction: Provider will ensure the assistant caregiver is utilized for no more than two hours per day. An alternative plan should be develop in case of emergencies.

Standard #: 22VAC40-111-280
Description: Based on observation, the caregiver did not ensure all potentially poisonous substances, materials and supplies such as, but not limited to, cleaning agent, disinfectants, deodorizers are stored away and inaccessible to children. Evidence: During the inspection, the inspector observed the kitchen cabinet under the sink unlocked which contained a gallon of bleach.

Plan of Correction: Corrected on site. Provider will ensure cabinet is locked at all times.

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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