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Ms. Trisha Shanholtz
120 Refuge Church Road
Stephens city, VA 22655
(540) 327-3603

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Feb. 20, 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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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.

Comments:
An initial licensing inspection was conducted on February 20, 2018, by appointment, between the hours of approximately 10:05 a.m. and 2:30 p.m. There were five children enrolled and three children in the care of the provider and one assistant, on this date. The provider's record, assistant's record, four household members' records and all children's records were reviewed. The home, outdoor play area and pool area were toured, available records/documents and caregiver training (first aid/cardiopulmonary resuscitation) were reviewed and safety equipment was inspected (first aid kit, land line telephone, flashlight, fire extinguisher and radio). Posted information (daily schedule, menu, emergency telephone numbers and emergency evacuation plan and diagram), storage of cleaning supplies/hazardous substances and verification of rabies immunization for the dogs and cat were reviewed/observed. Program observation was completed. Activities provided on this date included: indoor play; diapering/restroom/handwashing procedures; lunch; outdoor play; and naptime. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The caregivers were observed to be patient and able to meet the individual needs of the children. The daily schedule was consistent with the activities provided. The children knew and followed the daily routine and transitions well. No violations of licensing standards were cited during this initial inspection. Areas of the licensing standards discussed included: diapering procedures and outdoor climber (railings, window and steps). Outdoor toileting and handwashing procedures were discussed, as well as the outdoor pond (not currently being used). A recommendation will be made for the issuance of a conditional family day home license upon completion of septic system upgrade and final zoning approval. Thank you for your time and assistance during the licensing process. Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

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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