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Ms. Rachel Carter
766 Clearview Drive
Martinsville, VA 24112
(276) 790-3929

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: March 26, 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
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure

Comments:
An unannounced renewal inspection was completed on 03/26/2018. There were 12 children, ages 4 months-5 years, totaling 33 points present during the inspection. There were 2 caregivers, one provider and one assistant, providing direct supervision during the inspection. The inspector reviewed 5 children's records, one provider record, one assistant record and two household members record's today. The provider does not administer medication. The children were observed in the following activities: playing with puzzles, participating in learning activities, watching television, during lunch and during nap. Infants were observed being fed and allowed to sleep on demand. The inspector discussed the new background requirements and meals with the provider. An exit conference was held at the conclusion of today's renewal inspection to discuss areas of non-compliance. The inspector arrived at 10:20 a.m. and departed at 2:00 p.m. Thank you for your time today. For questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-111-750-A
Description: Based on observation, record review and discussion, the provider failed to ensure that when topical skin products, such as diaper ointments, are applied written parent authorization noting any known adverse reactions shall be obtained at least annually. Evidence: There were 3 diaper ointments (1 tube of Triple Ointment Paste and 2 tubes of Desitin), labeled with the children's names, located at the changing area. The provider did not have written parent authorization, noting any know adverse reactions, to apply diaper ointments on those 3 children.

Plan of Correction: The provider will use the Virginia Department of Social Services Model Form to get written authorization to apply topical ointments.

Standard #: 22VAC40-111-60-A
Description: Based on record review and discussion, the provider failed to ensure that all children's records contain the components as required by the standards. Evidence: 1. The record for Child #1 did not contain the name, address and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached; the enrollment form only had one designated person listed. The record for Child #1 did not contain written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; this portion of the enrollment form had not been acknowledged. 2. The record for Child #2 did not contain the telephone number of each custodial parent's place of employment; an employer was listed but there was not a complete employer phone number provided. The record for Child #2 did not list the names of persons other than the custodial parent who are authorized to pick up the child. The record for Child #2 did not contain documentation of the annual review of the child's emergency contact information as required by 22VAC40-111-780-B. 3. The record for Child #3 did not contain documentation of the annual review of the child's emergency contact information as required by 22VAC40-111-780-B.

Plan of Correction: The provider will get the information from the parents.

Standard #: 22VAC40-111-570-A
Description: Based on observations, record review and discussion, the provider failed to remain within the allowed 16 points per caregiver as as stated in the standards. Evidence: There were 12 children, ages 4 months-5 years, in care during the inspection. The points of all 12 children totaled 33 points. There was one provider and one assistant providing supervision during the inspection; the point limit for one provider and one assistant is 32 points.

Plan of Correction: The provider will rotate children's attendance until the second week of April when a child turns 2 years old and will put the provider back at 32 points, when all 12 children are present.

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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