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Ms. Ashley Simons Crouch
91 Bellwood Drive
Lynchburg, VA 24501
(434) 382-7628

Current Inspector: Victoria E Dawson (540) 309-2674

Inspection Date: May 21, 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 Emergencies
22VAC40-111 Nutrition
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
An unannounced monitoring inspection was completed on 05/21/2018. There were 12 children, ages 3 months-4 years, totaling 33 points in care today. There were 3 caregivers, the provider and 2 assistants, providing direct supervision during the inspection. The inspector reviewed 5 children's records, 1 provider record, 2 assistant records and one household member's record during the inspection. The children were observed in the following activities: large motor play indoors, playing in climbing tunnels, during music and movement, during lunch, in free choice play, and preparing for nap. Infants were observed being fed and allowed to sleep on demand. The inspector observed proper hand washing and table sanitization during the inspection. The inspector reviewed the emergency supplies during today's inspection. The inspector discussed the following with the provider: the fingerprinting process, sleeping arrangements for infants, nutrition, and storing cleaning materials. The inspector verified that violations from the previous inspection had been corrected. The inspector arrived at 10:00 a.m. and departed at 12:45 p.m. An exit conference was held at the conclusion of today's inspection. Thank you for your time today. If you have any questions, please contact Becky Forestier at 540-309-2835.

Violations:
Standard #: 22VAC40-111-690-E
Description: Based on observations and discussion with the provider, the provider failed to ensure that soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: There was a small plastic bag (grocery bag) hanging on the bathroom door knob that contained spoiled diapers; a small plastic bag is not a leak-proof or plastic-lined storage system that is required by the standards for disposing soiled diapers.

Plan of Correction: Diapers will only be changed in the room with the step-operated trash can.

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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