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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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Ms. Tamara Gilchrist
10715 Locust Court
Fredericksburg, VA 22407
(540) 841-9738

Current Inspector: Cathy E. Aylor (540) 222-6352

Inspection Date: June 4, 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
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

An unannounced renewal inspection was conducted with provider. There were six children, ranging in age from 4 months to 3 years, present totalling 15 points. The children were dancing to Noodle on TV and preparing for rest. Three household files and one assistant file were reviewed. Six children files were reviewed - please see Supplemental Summary for missing items. Provider does not administer medication - Medication Administration Training is required to administer medication to day care children. Provider's first aid and CPR certification was renewed 4/30/2018. Time of today's inspection: 11:00 a.m. to 1:00 p.m. Please call me if you have any questions 540-219-4122 or e-mail

Standard #: 22VAC40-111-900-B
Description: Based on observation, the provider failed to prevent the children from walking around while eating. Evidence: the provider gave each of the children a few french fries that they ate while walking around.

Plan of Correction: Provider will have the children sit before giving them something to eat.

Standard #: 22VAC40-111-60-B
Description: Based on review of six children's files, the provider failed to have all of the required information in each child's file. Evidence: Child 3 did not have documentation of written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Child 1 and Child 3 did not have documentation of the new home address documented in the file.

Plan of Correction: Parent will request information from the parents.

Standard #: 22VAC40-111-180-A
Description: Based on review of three household files and one assistant file, the provider failed to have documentation of a repeat tuberculosis test or screening every two years for each individual. Evidence: Household members 1 and 3 did not have documentation of a current tuberculosis test or screening (expired 6/1/2018).

Plan of Correction: Household members will get an updated TB test or screening.

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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