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Jami Williams
12332 Osprey Lane
Culpeper, VA 22701
(540) 710-4867

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: April 17, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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:
We discussed requirements for children's and caregiver's records. The risk assessment for a violation was provided. We reviewed the requirements for caregiver records, training documents, spacing of openings at the bannister and below an interior wooden gate, and the posted emergency map.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 10:20 AM to 1:50 PM. Today, there were eleven children, ages infancy through four years (twenty-eight points) with three caregivers. I was accompanied by another licensing inspector from our office. I viewed activities, equipment, staffing, supervision, interactions with children, posted information, menu/nutrition, lunch routine, diapering procedures, emergency planning, emergency supplies and drill records, four records for caregivers/residents, five records for children, caregiver training, indoor and outdoor areas. The children enjoyed songs, stories, and a variety of age appropriate toys. The caregivers were observed providing comfort, guidance and frequent interactions with the children. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-111-120-B
Description: Based on a review of four records for caregivers/residents, and interviews with caregivers, there was required information missing from the record of caregiver 2. Evidence: There was only one written reference in the file. The caregivers indicated that they had a second completed reference form and it could not be located.

Plan of Correction: The provider will obtain a second written reference will be obtained for the record of caregiver 2. The provider will make sure all required information is maintained in the files.

Standard #: 22VAC40-111-60-B
Description: Based on a review of five records for children, and an interview with the provider, there was information missing from the record of child 5. Evidence: The emergency contact section of the registration form did not include a second name, address and phone number.

Plan of Correction: The provider immediately called the parent of child 5 and obtained the name, address and phone number of another emergency contact. In the future, the provider will review all paperwork at the time of enrollment and make sure all information was provided.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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