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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Mrs. Renee Hardy
700 Club House Road
Fredericksburg, VA 22406
(540) 899-3926

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: May 7, 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:
Several e-mails have been sent regarding the new requirement for fingerprinting and can be found on our website at dss.virginia.gov under "Bulletins" for Current providers. Contact the Office of Background Investigations at 804-726-7884 to get the Fieldprint Code for your family day home. Once the code is obtained, go online to fieldprintvirginia.com and schedule an appointment to go have the electronic fingerprinting done. The locations are listed on the website. Results will be e-mailed to you. This replaces the Virginia State Police criminal history record. All caregivers and household members over the age of 18 must complete fingerprinting no later than September 30, 2018. Background checks are now valid for five years from the original date the check was completed

Comments:
An unannounced monitoring inspection was conducted with provider. There were three day care children present, ages 9 months to 11 years, totalling 6 points. Two children got off the school bus, adding two additional points. The children were waking from rest and having snack time. Snack served today: boiled eggs, fresh fruit, and crackers. Four children's files were reviewed and are in compliance. One emergency medication was reviewed - provider is certified in Medication Administration Training through 11/13/2018. First aid and CPR certification was renewed 6/7/2017. Time of today's inspection: 3:00 p.m. to 4:30 p.m.

Violations:
Standard #: 22VAC40-111-700-A
Description: Based on review of one medication, the provider failed to have written authorization from the parent for the provider to administer the medication. Evidence: there was no documentation of written authorization for the provider to administer one emergency medication to a child.

Plan of Correction: Provider has the asthma action plan completed by the physician, but will secure written authorization for the provider to administer the medication.

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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