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Ms. Rebekah Rogers
3060 Watts Farm Road
Charlottesville, VA 22911
(434) 422-0172

Current Inspector: Beth Orebaugh (540) 847-9173

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
22VAC40-80 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.

Comments:
An unannounced monitoring inspection was conducted on May 21, 2018 during the hours of approximately 10:30 a.m. and 1:40 p.m. Twelve (12) children were enrolled and ten children were in the care of the provider and three assistants during the on site inspection. Two resident children were also present in the home (total of 35 points). Five children's records, four caregivers' records and one household member's record were reviewed and/or updated. No medications were on site/administered on this date; one child's medication authorization form was reviewed. Facility documents were reviewed, safety equipment was observed (first aid kit, flashlight, radio and fire extinguisher) and posted information was viewed (license, licensing inspection documentation, daily schedule, weekly menu, emergency telephone numbers, and emergency evacuation diagram/plan). Program observation was completed. Activities observed on this date included: arrival of one child; indoor play; outdoor play; diapering, restroom and handwashing procedures; naptime; and infant care/feeding. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The children followed the daily routine and transitions well. Refer to the accompanying violation notice for the exceptions to compliance (background clearances and tuberculosis screenings). Areas of discussion included: background clearances, reviewing children's records to ensure complete information is obtained and the location of a new small climber/slide. Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Violations:
Standard #: 22VAC40-111-170-B
Description: Based on review of four caregivers' records and one household member's record and discussion with the provider on May 21, 2018, the program failed to obtain from one caregiver, at the time of hire, a tuberculosis (TB) screening/exam report that was completed within the last 30 days and signed by a physician, physicians' designee, or an official of the local health department. Evidence: 1. Review of caregiver #4's record, on this date, determined that a TB exam report/screening was completed five months prior to the date of hire (date of employment - 1/22/2018). 2. The provider confirmed the date of hire and the date of the TB exam report/screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-111-180-A
Description: Based on review of one household member's record and discussion with the provider on May 21, 2018, the program failed to obtain a current report of tuberculosis (TB) screening every two years from the date of the first screening/exam. Evidence: 1. Review of the household member's record, on this date, determined that an updated TB screening/exam report was not on file. 2. The provider confirmed the lack of a current TB screening/exam report.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2-1720.1-B-2
Description: Based on review of four caregivers' records and one household member's record and discussion with the provider on May 21, 2018, the program failed to obtain fingerprinting results for two caregivers prior to employment . Evidence: 1. Review of caregiver #3 and caregiver #4's records, on this date, determined that fingerprinting results were not on file. Caregiver #3's date of hire was 2/19/2018 and caregiver #4's date of hire was 1/22/2018. Criminal history record clearances were on file for the caregivers. 2. The provider confirmed the lack of fingerprinting results for the caregivers.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2-1720.1-B-3
Description: Based on review of four caregivers' records and one household member's record and discussion with the provider on May 21, 2018, the program failed to obtain copies of the results of any child abuse and neglect registry or equivalent registry maintained by any other state in which one caregiver resided in the preceding five years. Evidence: 1. Review of caregiver #4's record, on this date, determined that the caregiver resided in two states (other than Virginia) within the preceding five years. Copies of the results of searches of any child abuse/neglect registries maintained by those states were not requested/obtained within 30 days of employment (hire date - 1/22/2018). 2. The provider confirmed that searches of any child abuse/neglect registries maintained by the states in which caregiver #4 had resided had not been submitted or obtained.

Plan of Correction: Not available online. Contact Inspector for more information.

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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