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Mrs. Clydie Harrison
610 Meadowood Trail
Martinsville, VA 24112
(276) 957-4645

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Jan. 9, 2018

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
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was conducted on 01/09/2018. There were 7 children, ages 2 years-7 years, totaling 12 points present during today's inspection. There was one provider and one assistant present providing care and supervision during the inspection. The inspector reviewed 5 children's records, one provider record and one assistant record. The Provider does not administer medication. The children were observed in the following activities: free choice activities, center play, story time, coloring/learning time and lunch. The inspector reviewed the emergency preparedness plans and emergency supplies. The inspector discussed the following with the provider: organizing the playrooms in partnership with Smart Beginnings, updating the Emergency Preparedness Plans, updates to the background check requirements and recording keeping. The inspector arrived at 10:20 a.m. and departed at 1:15 p.m. Thank you for your time today. If you have any questions, please contact me at 540-309-2835.

Violations:
Standard #: 22VAC40-111-830-B
Description: Based on document review, the provider failed to ensure that a shelter-in-place drill in conducted a minimum of twice per year. Evidence: There was only one shelter-in-place drill logged on the Shelter-in-place Documentation Log for 2017; a shelter-in-place drill was conducted on 03/22/2017.

Plan of Correction: The Provider will do 2 shelter-in-place drills in 2018.

Standard #: 22VAC40-111-60-B
Description: Based on review of records, the Provider failed to ensure that all children's records contain all components as required by the standards. Evidence: 1. The record for Child #1 did not contain the following: the first date of attendance and the name of the previously attended child day care. 2. The record for Child #2 did not contain the required addresses for the two designated persons to be contacted in case of an emergency if the parent cannot be reached. 3. The record for Child #3 did not contain the following: the name of the previously attended child day care and annual documentation of the review of the child's emergency contact information as required by 22VAC40-111-780-B; the record has not been updated since September 2016. 4. The record for Child #4 did not contain the following: the required phone number and addresses for both parents place of employment (an employer was listed for both parents on the enrollment form), the required addresses for the two designated persons to be contacted in case of an emergency if the parent cannot be reached, the address and telephone number of the child's physician, and the name of the previously attended child day center. 5. The record for Child #5 did not contain the following information: the required addresses for a parents place of employment (an employer was listed for both parents on the enrollment form), the required address for one of the two designated persons to be contacted in case of an emergency if the parent cannot be reached and the policy number of the child's medical insurance.

Plan of Correction: The Provider will have the parents redo the forms and then sign them.

Standard #: 22VAC40-111-210-A
Description: Based on review of records and discussion with the Provider, the Provider failed to ensure that the provider and provider's assistant received the required 16 hours of annual training hours as required by the standards. Evidence: 1. The record for the Provider contained documentation for 12 training hours in 2017. 2. The record for the Assistant contained documentation for 9 training hours in 2017.

Plan of Correction: The Provider and the Assistant will participate in 16 hours of training in 2018.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that all unused electrical outlets contain child-resistant protective covers. Evidence: The Licensing Inspector observed an uncovered unused electrical outlet in the playroom located on the right side of the hallway. The Licensing Inspector observed 6 children playing in the playroom while the outlet was uncovered. The outlet was accessible to the children in the room.

Plan of Correction: The Provider will check the outlets to make sure that her grandchildren replace the outlet covers. The Provider covered the outlet during the inspection.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record review and discussion with the Provider, the provider failed to ensure that a repeat search of the central registry was conducted within three years since the date of the most recent central registry findings. Evidence: The most recent search of the central registry was conducted on 03/14/2013. The search of the central registry should have been updated before 03/14/2016. The provider stated that she misunderstood which part of the background checks needed to be updated due to the recent number of changes in the background check requirements.

Plan of Correction: A new search of the central registry will be submitted and the provider will follow up with the licensing inspector within 10 days.

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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