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Ms. Tanya Reynolds
1060 Palm Avenue NW
Roanoke, VA 24017
(540) 795-5175

Current Inspector: Jensen Mellnick (540) 309-2051

Inspection Date: June 13, 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
22VAC40-80 THE LICENSE.
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 in the Family Day Home on June 13, 2018. Upon arrival to the FDH at 4:00PM, the LI observed 3 children in care. Five additional children arrived after 4:30PM, the children were in care during the evening hours. Upon arrival by the LI, the points were 5, the total points were 11 with the 8 children present. A sample of 4 children's records was reviewed. The Provider's record and information maintained on the adult household member was also reviewed. the Provider reported that medications are not administered as defined by the FDH's medication policy. A discussion was held with the Provider regarding organization of records for all caregivers and household members. A discussion was also held regarding adequate space for free movement and active play indoors and outdoors for all children in care. Findings were reviewed at exit. The inspection concluded at approximately 6:15PM. If you have any questions, please call 540-309-2310. Thank you.

Violations:
Standard #: 22VAC40-111-60-B
Description: Based on a sample review of children's records, the Provider failed to ensure the following information was complete for each child: B.2.d. Name, address, and telephone number of two designated persons to contact in case of an emergency if the parent cannot be reached. Evidence: Two of four records reviewed (children 3 and 4) documented information for one designated emergency contact.

Plan of Correction: The Provider will review the record and will request that the parent complete the information for an additional emergency contact.

Standard #: 22VAC40-111-170-A
Description: Based on interview with the Provider, documentation of a current Report of tuberculosis Screening was not available for review for a household member. Evidence: At the time of inspection, the Provider could not provide documentation to verify a current TB screening for an adult household member 1. The Provider reported that the adult had obtained a screening for employment purposes but did not have a copy of the screening.

Plan of Correction: The Provider will obtain documentation of a current TB screening from the individual. Documentation of the current screening will be on file in the FDH.

Standard #: 22VAC40-111-330-C
Description: Based on the LI's unsuccessful attempt to contact the Provider by phone and interview with the Provider, the Provider failed to inform the department within 48 hours of a change of the telephone number. Evidence: 1. The LI made several phone calls to the FDH number that is on file. Phone call were attempted at different times over a period of several different days to include: 06/05, 5/18, 5/17 and 5/16/18. 2. An inspection was attempted in June, an acknowledgment form was left on the porch as there was no answer at the door. 3. The Provider then called the LI later that same day; reported that the phone number was changed and updated the information.

Plan of Correction: In the future the Provider will notify the Licensing Inspector within 48 hours if any changes are made related to the FDH's landline phone.

Standard #: 22VAC40-111-430-C
Description: Based on direct observations, the Provider failed to ensure protective barriers or guardrails were on each side of stairs. Evidence: The front porch steps used by the children to enter and exit the (FDH) home do not have protective barriers or guardrails on each side of the steps. One of the two sides is equipped with a hand rail.

Plan of Correction: The Provider will have a handrail installed on the side of the steps to ensure both sides are protected.

Standard #: 22VAC40-191-40-D-1-c
Description: Repeat Violation. Based on review of documentation, the Provider failed to ensure the central registry finding was current. Evidence: Documentation of the CPS Central Registry Check for caregiver 1. was last verified on 11/22/13. The Provider reported that the form was submitted but was returned due to white out being used on the form. As reported, another form was submitted. The Provider could not locate the verified document at the time of the inspection.

Plan of Correction: The Provider will follow-up immediately and will obtain an updated CPS Search of the Registry. Documentation will be kept in the record and available for review.

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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