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Mrs. Becky Swanner
99 Wilderness Court
Stafford, VA 22556
(540) 752-0515

Current Inspector: Lorraine Hancock (540) 272-9214

Inspection Date: Dec. 13, 2018

Complaint Related: Yes

Areas Reviewed:
22VAC40-111 Caregiver Training

Technical Assistance:
Supervision: The FDH standards do not require complete sight and sound supervision for each child because it is impossible for a single provider to do that (ie. bathroom break) 560.A. states ?A caregiver shall ? provide direct care and supervision of each child at all times. Direct care and supervision of each child includes: awareness of and responsibility for each child in care, including being near enough to intervene of needed." Since your FDH consistently has more than one caregiver on site, the times the children are left "unsupervised" should be rare. Caregivers must ensure the safety of the children when unavailable for a few minutes using the bathroom, etc. School age children may play outdoors while the provider is indoors only if the caregiver can hear the children playing outdoors.

Comments:
An unannounced complaint investigation was conducted with caregiver. The allegation made by the complaintant regarding medication administration was determined to be valid. Medication Administration Training is required by any caregiver who administers medication to day care children. The allegation regarding capacity was determined to be not valid. Be sure to limit the number of day care children present to 12, as that is the licensed capacity for the home. Please call me if you have any questions 540-219-4122 or e-mail tara.barton@dss.virginia.gov.

Violations:
Standard #: 22VAC40-111-220-A
Complaint related: Yes
Description: Based on interviews and documentation, the provider failed to have the administration of medication be performed b a caregiver who has satisfactorily completed a training program (Medication Administration Training) for this purpose developed or approved by the Board of Nursing. Evidence: on 6/26/2017, the provider notified the parent that Child A was given Benadryl for a runny nose. None of the caregivers have training in Medication Administration Training, as required.

Plan of Correction: Medications will not be administered to children unless the caregiver becomes certified in Medication Administration Training.

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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