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Ms. Angela Young
14213 Sharpshinned Drive
Gainesville, VA 20155-5833
(703) 754-4647

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: April 30, 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
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:
All caregivers need to have completed fingerprinting no later than September 30, 2018. Any caregiver that interviews after 1/23/2018 needs to have documentation of fingerprinting before being hired and starting work. If a caregiver has lived in another state(s) in the past 5 years, a search of the central registry (CPS check) must be conducted for each of those states. Information on how to obtain this information can be found on our website at dss.virginia.gov.

Comments:
An unannounced renewal inspection was conducted with provider and assistant. There were twelve children present, ranging in age from 3 months to 4 years, totalling 34 points with two caregivers. Each caregiver shall care for no more than 16 points. Four infants were awake and playing with age appropriate toys. The other eight children were having rest time. Three children's files and one assistant file were reviewed. There are no medications on site - Medication Administration Training is required to administer medication to day care children. Provider's first aid and CPR certification is valid until 3/25/2019. Please locate the pet rabies vaccination for three resident cats. Time of today's inspection: 12:30 p.m. to 1:45 p.m. Please call me if you have any questions 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-460-D
Description: Based on provider interview, the provider failed to have documentation of the latest rabies vaccination for household pets. Evidence: the provider could not locate the documentation of the latest rabies vaccination for three household cats.

Plan of Correction: Provider stated the cats are current in the rabies vaccination and will contact the vet to get documentation if it can not be located.

Standard #: 22VAC40-111-570-A
Description: Based on observation and record review, the provider failed to ensure that each caregiver does not exceed 16 points using the point system based on children's ages at any given time. Evidence: on 4/30/2018, there were twelve children present, ranging in age from 3 months to 4 years, totalling 34 points. There were two caregivers present, but three were required.

Plan of Correction: Provider miscounted the points of the children that attend on Mondays. Provider will have an additional staff person come in to help on Mondays and any other day the points exceed 32 points.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of one caregiver file, the provider failed to have documentation of a search of the central registry finding (CPS check) within 30 days of employment. Evidence: Caregiver A (date of hire 3/8/2018) did not have documentation of a CPS check within 30 days of employment.

Plan of Correction: Provider will call the Office of Background Investigations to check the status of the CPS check.

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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