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Ms. Charlise Brock
9091 Sunflower Lane
Rhoadesville, VA 22542
(540) 854-9277

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

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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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 the requirements for children's records and TB statements. The risk assessments for violations were provided. Also, we reviewed the requirements for sunscreen use, training, outdoor surfacing and diapering procedures.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 11:05 AM to 2:50 PM. Today, there were twelve children, ages one through five years (twenty-one points) with two caregivers. I viewed program activities, daily routines, equipment, staffing, supervision, interactions with children, lunch/snack, posted information, three records for caregivers/residents, caregiver training, five records for children, emergency supplies and drill records, diapering procedures, emergency planning, indoor and outdoor areas. We reviewed your transportation procedures for field trips. The children enjoyed outside activities after the rainy period this month. Seasonal art activities have been provided. Let me know if you have any questions. 540/430-9259

Violations:
Standard #: 22VAC40-111-780-B
Description: Based on a review of five records for children, and an interview with the provider, the provider failed to conduct an annual review with the parent of the emergency contact information written for child's record. Evidence: The last signature by the parent to acknowledge the annual review was dated October 5, 2016. The provider indicated she did not conduct reviews with all parents of the older children.

Plan of Correction: The provider will have the parent look over the emergency contact information during the next drop-off time, write any updated information and sign the bottom of the form. The provider began reviewing other files to determine any more needed reviews.

Standard #: 22VAC40-111-180-A
Description: Based on a review of three records for caregivers/residents, and an interview with the provider, the Tuberculosis screening and statement for caregiver 1 was not updated by two years from the date of the most recent statement. Evidence: The last TB screening statement was completed on April 7, 2016.

Plan of Correction: Caregiver 1 immediately called the local health department and obtained information for going for an updated TB screening and signed statement this week. The provider will keep track of the due dates for updating information in records.

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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